Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,110.97 / $3,110.97 / $3,110.97	Facility		$3,110.97	$3,110.97	$3,110.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,625.09 / $3,110.97 / $3,110.97	Professional		$2,625.09	$3,110.97	$3,110.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,245.03 / $16,427.27 / $29,919.46	Facility		$8,245.03	$16,427.27	$29,919.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,175.06 / $5,447.43 / $7,354.03	Professional		$5,175.06	$5,447.43	$7,354.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,840.99 / $3,540.83 / $3,546.63	Facility		$2,840.99	$3,540.83	$3,546.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,357.93 / $4,357.93 / $4,357.93	Professional		$4,357.93	$4,357.93	$4,357.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $3,523.90	Facility		$3,523.90	$3,523.90	$3,523.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $6,315.38	Professional		$3,523.90	$3,523.90	$6,315.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,110.97 / $3,936.58 / $3,936.58	Facility		$3,110.97	$3,936.58	$3,936.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,110.97 / $3,936.58 / $6,126.98	Professional		$3,110.97	$3,936.58	$6,126.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,305.50 / $4,031.10 / $4,635.76	Professional		$3,305.50	$4,031.10	$4,635.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,817.10 / $2,604.21 / $3,634.20	Professional		$1,817.10	$2,604.21	$3,634.20