Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,352.44 / $4,994.72 / $6,991.92	Facility		$2,352.44	$4,994.72	$6,991.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,890.96 / $2,352.44 / $2,352.44	Professional		$1,890.96	$2,352.44	$2,352.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,089.42 / $3,089.42 / $4,119.22	Professional		$3,089.42	$3,089.42	$4,119.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,234.70 / $12,421.92 / $22,624.40	Facility		$6,234.70	$12,421.92	$22,624.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,913.26 / $4,119.22 / $5,560.95	Professional		$3,913.26	$4,119.22	$5,560.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,336.83 / $2,500.26 / $2,677.49	Facility		$2,336.83	$2,500.26	$2,677.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,295.38 / $3,295.38 / $3,295.38	Professional		$3,295.38	$3,295.38	$3,295.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $2,160.07	Facility		$2,160.07	$2,160.07	$2,160.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $4,775.25	Professional		$2,160.07	$2,160.07	$4,775.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,976.75 / $4,994.72 / $6,991.92	Facility		$2,976.75	$4,994.72	$6,991.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,156.58 / $2,976.75 / $4,325.18	Professional		$2,156.58	$2,976.75	$4,325.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,499.54 / $3,048.22 / $3,505.45	Professional		$2,499.54	$3,048.22	$3,505.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,437.18 / $1,969.25 / $2,752.37	Professional		$1,437.18	$1,969.25	$2,752.37