Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,003.09 / $10,003.09 / $10,003.09	Facility		$10,003.09	$10,003.09	$10,003.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,309.19 / $10,003.09 / $10,003.09	Professional		$8,309.19	$10,003.09	$10,003.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,515.82 / $17,515.82 / $17,515.82	Facility		$17,515.82	$17,515.82	$17,515.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16,640.03 / $17,515.82 / $23,646.36	Professional		$16,640.03	$17,515.82	$23,646.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,112.39 / $11,385.28 / $11,447.00	Facility		$11,112.39	$11,385.28	$11,447.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14,012.66 / $14,012.66 / $14,012.66	Professional		$14,012.66	$14,012.66	$14,012.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,812.54 / $9,812.54 / $9,812.54	Facility		$9,812.54	$9,812.54	$9,812.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,812.54 / $9,812.54 / $20,306.25	Professional		$9,812.54	$9,812.54	$20,306.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10,003.09 / $11,980.36 / $11,980.36	Facility		$10,003.09	$11,980.36	$11,980.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10,003.09 / $11,980.36 / $17,560.28	Professional		$10,003.09	$11,980.36	$17,560.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $11,017.45 / $12,961.71 / $14,905.96	Professional		$11,017.45	$12,961.71	$14,905.96
United Facility/Professional Professional Modifier Low / Median / High Price $6,528.64 / $8,373.68 / $13,057.27	Professional		$6,528.64	$8,373.68	$13,057.27