Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $10,964.78 / $16,595.87	Professional		$9,120.11	$10,964.78	$16,595.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Professional		$14,791.08	$14,791.08	$14,791.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $64,565.42 / $123,026.88	Facility		$26,915.35	$64,565.42	$123,026.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $22,387.21	Professional		$20,417.38	$21,379.62	$22,387.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility		$13,489.63	$13,489.63	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $12,882.50 / $25,118.86	Professional		$9,332.54	$12,882.50	$25,118.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $40,738.03 / $45,708.82	Facility		$12,302.69	$40,738.03	$45,708.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $16,982.44 / $26,302.68	Professional		$10,715.19	$16,982.44	$26,302.68
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $12,882.50 / $13,489.63	Professional		$9,332.54	$12,882.50	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $16,982.44 / $25,703.96	Facility		$12,302.69	$16,982.44	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $15,848.93	Professional		$7,762.47	$10,232.93	$15,848.93