Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,813.14 / $12,813.14 / $12,813.14	Facility		$12,813.14	$12,813.14	$12,813.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,677.62 / $12,813.14 / $12,813.14	Professional		$10,677.62	$12,813.14	$12,813.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33,958.78 / $67,658.97 / $123,229.24	Facility		$33,958.78	$67,658.97	$123,229.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21,314.50 / $22,436.32 / $30,289.03	Professional		$21,314.50	$22,436.32	$30,289.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14,234.03 / $14,583.61 / $14,662.63	Facility		$14,234.03	$14,583.61	$14,662.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17,949.06 / $17,949.06 / $17,949.06	Professional		$17,949.06	$17,949.06	$17,949.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,513.81 / $14,513.81 / $14,513.81	Facility		$14,513.81	$14,513.81	$14,513.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,344.63 / $14,513.81 / $26,010.38	Professional		$11,344.63	$14,513.81	$26,010.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12,813.14 / $16,213.52 / $16,213.52	Facility		$12,813.14	$16,213.52	$16,213.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12,813.14 / $16,213.52 / $23,558.13	Professional		$12,813.14	$16,213.52	$23,558.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $14,112.44 / $16,602.88 / $19,093.31	Professional		$14,112.44	$16,602.88	$19,093.31
United Facility/Professional Professional Modifier Low / Median / High Price $8,332.68 / $10,726.00 / $15,858.68	Professional		$8,332.68	$10,726.00	$15,858.68