Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,255.17 / $2,255.17 / $2,255.17	Facility		$2,255.17	$2,255.17	$2,255.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.91 / $2,255.17 / $2,255.17	Professional		$1,726.91	$2,255.17	$2,255.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,976.91 / $11,908.30 / $21,688.94	Facility		$5,976.91	$11,908.30	$21,688.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,751.46 / $3,948.90 / $5,331.02	Professional		$3,751.46	$3,948.90	$5,331.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,128.33 / $2,128.33 / $2,566.79	Facility		$2,128.33	$2,128.33	$2,566.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,159.12 / $3,159.12 / $3,159.12	Professional		$3,159.12	$3,159.12	$3,159.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $2,694.60	Facility		$2,694.60	$2,694.60	$2,694.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $3,283.44 / $5,722.50	Professional		$1,967.06	$3,283.44	$5,722.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,255.17 / $2,853.66 / $2,853.66	Facility		$2,255.17	$2,853.66	$2,853.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,234.36 / $2,853.66 / $4,146.34	Professional		$2,234.36	$2,853.66	$4,146.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,396.19 / $2,922.19 / $3,360.51	Professional		$2,396.19	$2,922.19	$3,360.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,361.29 / $1,887.83 / $2,638.55	Professional		$1,361.29	$1,887.83	$2,638.55