Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,353.03 / $3,353.03 / $3,353.03	Facility		$3,353.03	$3,353.03	$3,353.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,305.29 / $3,353.03 / $3,353.03	Professional		$2,305.29	$3,353.03	$3,353.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,886.56 / $17,705.46 / $32,247.47	Facility		$8,886.56	$17,705.46	$32,247.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,577.73 / $5,871.29 / $7,926.24	Professional		$5,577.73	$5,871.29	$7,926.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,055.82 / $3,055.82 / $3,816.34	Facility		$3,055.82	$3,055.82	$3,816.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,697.03 / $4,697.03 / $4,697.03	Professional		$4,697.03	$4,697.03	$4,697.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $3,798.08	Facility		$3,798.08	$3,798.08	$3,798.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $6,806.63	Professional		$3,798.08	$3,798.08	$6,806.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,353.03 / $4,242.87 / $4,242.87	Facility		$3,353.03	$4,242.87	$4,242.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,353.03 / $4,242.87 / $6,164.85	Professional		$3,353.03	$4,242.87	$6,164.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,562.69 / $4,344.75 / $4,996.46	Professional		$3,562.69	$4,344.75	$4,996.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,954.51 / $2,806.85 / $3,909.01	Professional		$1,954.51	$2,806.85	$3,909.01