Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,320.55 / $2,320.55 / $2,320.55	Facility		$2,320.55	$2,320.55	$2,320.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,944.75 / $2,320.55 / $2,320.55	Professional		$1,944.75	$2,320.55	$2,320.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,150.19 / $12,253.56 / $22,317.76	Facility		$6,150.19	$12,253.56	$22,317.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,860.22 / $4,063.39 / $5,485.58	Professional		$3,860.22	$4,063.39	$5,485.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,577.89 / $2,641.20 / $2,655.48	Facility		$2,577.89	$2,641.20	$2,655.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,250.71 / $3,250.71 / $3,250.71	Professional		$3,250.71	$3,250.71	$3,250.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $2,282.71	Facility		$2,282.71	$2,282.71	$2,282.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $3,378.63 / $5,888.44	Professional		$1,666.39	$3,378.63	$5,888.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,320.55 / $2,936.39 / $2,936.39	Facility		$2,320.55	$2,936.39	$2,936.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,320.55 / $2,936.39 / $4,570.28	Professional		$2,320.55	$2,936.39	$4,570.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,982.23 / $1,982.23 / $1,982.23	Facility		$1,982.23	$1,982.23	$1,982.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,518.78 / $1,942.56 / $2,908.25	Professional		$1,518.78	$1,942.56	$2,908.25