Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,550.27 / $16,550.27 / $16,550.27	Facility		$16,550.27	$16,550.27	$16,550.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,869.96 / $16,550.27 / $16,550.27	Professional		$13,869.96	$16,550.27	$16,550.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21,735.14 / $21,735.14 / $21,735.14	Professional		$21,735.14	$21,735.14	$21,735.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43,863.31 / $87,392.63 / $159,170.74	Facility		$43,863.31	$87,392.63	$159,170.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27,531.17 / $28,980.18 / $39,123.24	Professional		$27,531.17	$28,980.18	$39,123.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18,385.59 / $18,837.12 / $18,939.18	Facility		$18,385.59	$18,837.12	$18,939.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23,184.14 / $23,184.14 / $23,184.14	Professional		$23,184.14	$23,184.14	$23,184.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,200.25 / $16,200.25 / $16,200.25	Facility		$16,200.25	$16,200.25	$16,200.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,674.56 / $16,200.25 / $33,597.00	Professional		$14,674.56	$16,200.25	$33,597.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16,550.27 / $20,942.43 / $20,942.43	Facility		$16,550.27	$20,942.43	$20,942.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16,550.27 / $20,942.43 / $30,429.18	Professional		$16,550.27	$20,942.43	$30,429.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $18,228.53 / $21,445.33 / $24,662.12	Professional		$18,228.53	$21,445.33	$24,662.12
United Facility/Professional Facility Modifier Low / Median / High Price $29,383.10 / $34,568.35 / $34,568.35	Facility		$29,383.10	$34,568.35	$34,568.35
United Facility/Professional Professional Modifier Low / Median / High Price $10,778.61 / $13,854.38 / $20,741.70	Professional		$10,778.61	$13,854.38	$20,741.70