Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,998.92 / $2,998.92 / $2,998.92	Facility		$2,998.92	$2,998.92	$2,998.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,488.90 / $2,998.92 / $2,998.92	Professional		$2,488.90	$2,998.92	$2,998.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,948.06 / $15,835.61 / $28,841.86	Facility		$7,948.06	$15,835.61	$28,841.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,988.67 / $5,251.23 / $7,089.16	Professional		$4,988.67	$5,251.23	$7,089.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,299.21 / $3,413.30 / $3,899.95	Facility		$3,299.21	$3,413.30	$3,899.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,200.97 / $4,200.97 / $4,200.97	Professional		$4,200.97	$4,200.97	$4,200.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $3,323.97	Facility		$3,323.97	$3,323.97	$3,323.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $6,087.75	Professional		$3,323.97	$3,323.97	$6,087.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,998.92 / $3,591.70 / $3,591.70	Facility		$2,998.92	$3,591.70	$3,591.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,998.92 / $3,591.70 / $5,513.79	Professional		$2,998.92	$3,591.70	$5,513.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,999.28 / $2,510.42 / $4,171.64	Professional		$1,999.28	$2,510.42	$4,171.64