Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,959.58 / $4,959.58 / $4,959.58	Facility		$4,959.58	$4,959.58	$4,959.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,132.97 / $4,959.58 / $4,959.58	Professional		$4,132.97	$4,959.58	$4,959.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,144.40 / $26,188.71 / $47,698.25	Facility		$13,144.40	$26,188.71	$47,698.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,250.19 / $8,684.41 / $11,723.95	Professional		$8,250.19	$8,684.41	$11,723.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,509.52 / $5,644.87 / $5,675.44	Facility		$5,509.52	$5,644.87	$5,675.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,947.53 / $6,947.53 / $6,947.53	Professional		$6,947.53	$6,947.53	$6,947.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $6,042.00	Facility		$6,042.00	$6,042.00	$6,042.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $10,068.00	Professional		$6,042.00	$6,042.00	$10,068.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,959.58 / $6,275.77 / $6,275.77	Facility		$4,959.58	$6,275.77	$6,275.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,959.58 / $6,275.77 / $9,118.62	Professional		$4,959.58	$6,275.77	$9,118.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,269.69 / $6,426.46 / $7,390.42	Professional		$5,269.69	$6,426.46	$7,390.42
United Facility/Professional Professional Modifier Low / Median / High Price $3,306.38 / $4,151.71 / $6,215.62	Professional		$3,306.38	$4,151.71	$6,215.62