Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,060.20 / $3,060.20 / $3,060.20	Facility		$3,060.20	$3,060.20	$3,060.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,358.36 / $3,060.20 / $3,060.20	Professional		$2,358.36	$3,060.20	$3,060.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,110.47 / $16,159.18 / $29,431.19	Facility		$8,110.47	$16,159.18	$29,431.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,090.60 / $5,358.53 / $7,234.02	Professional		$5,090.60	$5,358.53	$7,234.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,906.57 / $2,906.57 / $3,483.04	Facility		$2,906.57	$2,906.57	$3,483.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,286.82 / $4,286.82 / $4,286.82	Professional		$4,286.82	$4,286.82	$4,286.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $3,813.78	Facility		$3,813.78	$3,813.78	$3,813.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $6,212.25	Professional		$3,813.78	$3,813.78	$6,212.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,060.20 / $3,872.33 / $3,872.33	Facility		$3,060.20	$3,872.33	$3,872.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,060.20 / $3,872.33 / $5,626.45	Professional		$3,060.20	$3,872.33	$5,626.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,251.55 / $3,965.31 / $4,560.10	Professional		$3,251.55	$3,965.31	$4,560.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,859.05 / $2,561.71 / $3,835.22	Professional		$1,859.05	$2,561.71	$3,835.22