Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,185.96 / $2,185.96 / $2,185.96	Facility		$2,185.96	$2,185.96	$2,185.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,821.64 / $2,185.96 / $2,185.96	Professional		$1,821.64	$2,185.96	$2,185.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,793.49 / $11,542.87 / $21,023.37	Facility		$5,793.49	$11,542.87	$21,023.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,636.33 / $3,827.72 / $5,167.42	Professional		$3,636.33	$3,827.72	$5,167.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,065.53 / $2,355.69 / $2,488.02	Facility		$2,065.53	$2,355.69	$2,488.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,062.18 / $3,062.18 / $3,062.18	Professional		$3,062.18	$3,062.18	$3,062.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $2,476.09	Facility		$2,476.09	$2,476.09	$2,476.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $4,437.38	Professional		$2,476.09	$2,476.09	$4,437.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,185.96 / $2,766.07 / $2,766.07	Facility		$2,185.96	$2,766.07	$2,766.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,185.96 / $2,766.07 / $4,305.20	Professional		$2,185.96	$2,766.07	$4,305.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,322.65 / $2,832.51 / $3,257.38	Professional		$2,322.65	$2,832.51	$3,257.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,321.12 / $1,829.89 / $2,557.56	Professional		$1,321.12	$1,829.89	$2,557.56