Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,171.77 / $12,171.77 / $12,171.77	Facility		$12,171.77	$12,171.77	$12,171.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,115.26 / $12,171.77 / $12,171.77	Professional		$10,115.26	$12,171.77	$12,171.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32,258.94 / $64,272.24 / $117,060.89	Facility		$32,258.94	$64,272.24	$117,060.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20,247.59 / $21,313.25 / $28,772.89	Professional		$20,247.59	$21,313.25	$28,772.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13,408.48 / $13,573.49 / $13,853.61	Facility		$13,408.48	$13,573.49	$13,853.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17,050.59 / $17,050.59 / $17,050.59	Professional		$17,050.59	$17,050.59	$17,050.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,752.32 / $12,752.32 / $12,752.32	Facility		$12,752.32	$12,752.32	$12,752.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,752.32 / $12,752.32 / $24,708.38	Professional		$12,752.32	$12,752.32	$24,708.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12,171.77 / $15,401.95 / $15,401.95	Facility		$12,171.77	$15,401.95	$15,401.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12,171.77 / $15,401.95 / $23,971.98	Professional		$12,171.77	$15,401.95	$23,971.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,824.10 / $10,189.10 / $15,648.19	Professional		$7,824.10	$10,189.10	$15,648.19