Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $7,079.46	Professional		$3,715.35	$4,466.84	$7,079.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $8,709.64	Professional		$6,918.31	$6,918.31	$8,709.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $26,302.68 / $50,118.72	Facility		$10,964.78	$26,302.68	$50,118.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,709.64 / $9,120.11	Professional		$8,317.64	$8,709.64	$9,120.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $10,232.93	Professional		$4,365.16	$6,025.60	$10,232.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $16,595.87 / $18,620.87	Facility		$5,011.87	$16,595.87	$18,620.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,918.31 / $10,715.19	Professional		$4,365.16	$6,918.31	$10,715.19
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $7,079.46	Professional		$4,365.16	$6,025.60	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,918.31 / $10,471.29	Facility		$5,128.61	$6,918.31	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,168.69 / $6,165.95	Professional		$3,235.94	$4,168.69	$6,165.95