Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,618.94 / $2,618.94 / $7,123.90	Facility		$2,618.94	$2,618.94	$7,123.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,182.44 / $2,618.94 / $2,618.94	Professional		$2,182.44	$2,618.94	$2,618.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,941.00 / $13,829.15 / $25,187.43	Facility		$6,941.00	$13,829.15	$25,187.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,356.58 / $4,585.87 / $6,190.92	Professional		$4,356.58	$4,585.87	$6,190.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,892.60 / $2,892.60 / $2,980.82	Facility		$2,892.60	$2,892.60	$2,980.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,668.70 / $3,668.70 / $3,668.70	Professional		$3,668.70	$3,668.70	$3,668.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $2,780.72	Facility		$2,780.72	$2,780.72	$2,780.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $5,316.38	Professional		$2,780.72	$2,780.72	$5,316.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,618.94 / $3,313.96 / $7,123.90	Facility		$2,618.94	$3,313.96	$7,123.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,539.08 / $3,313.96 / $4,815.16	Professional		$2,539.08	$3,313.96	$4,815.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,782.70 / $3,393.54 / $3,902.57	Professional		$2,782.70	$3,393.54	$3,902.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,850.11 / $2,220.13 / $3,537.56	Professional		$1,850.11	$2,220.13	$3,537.56