Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,075.07 / $2,075.07 / $2,075.07	Facility		$2,075.07	$2,075.07	$2,075.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.88 / $2,075.07 / $2,075.07	Professional		$1,505.88	$2,075.07	$2,075.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,499.58 / $10,957.27 / $19,956.80	Facility		$5,499.58	$10,957.27	$19,956.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,451.85 / $3,633.53 / $4,905.27	Professional		$3,451.85	$3,633.53	$4,905.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,855.94 / $1,855.94 / $2,361.79	Facility		$1,855.94	$1,855.94	$2,361.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,906.82 / $2,906.82 / $2,906.82	Professional		$2,906.82	$2,906.82	$2,906.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $1,784.15	Facility		$1,784.15	$1,784.15	$1,784.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $4,212.38	Professional		$1,784.15	$1,784.15	$4,212.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,075.07 / $2,625.76 / $2,625.76	Facility		$2,075.07	$2,625.76	$2,625.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,055.91 / $2,625.76 / $3,815.20	Professional		$2,055.91	$2,625.76	$3,815.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,204.82 / $2,688.81 / $3,092.13	Professional		$2,204.82	$2,688.81	$3,092.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.06 / $1,737.06 / $2,427.82	Professional		$1,187.06	$1,737.06	$2,427.82