Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,876.01 / $1,876.01 / $1,876.01	Facility		$1,876.01	$1,876.01	$1,876.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.54 / $1,876.01 / $1,876.01	Professional		$1,368.54	$1,876.01	$1,876.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,972.01 / $9,906.16 / $18,042.37	Facility		$4,972.01	$9,906.16	$18,042.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,120.72 / $3,284.97 / $4,434.71	Professional		$3,120.72	$3,284.97	$4,434.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,810.28 / $1,814.09 / $2,135.23	Facility		$1,810.28	$1,814.09	$2,135.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,627.98 / $2,627.98 / $2,627.98	Professional		$2,627.98	$2,627.98	$2,627.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $2,125.02	Facility		$2,125.02	$2,125.02	$2,125.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $3,808.13	Professional		$2,125.02	$2,125.02	$3,808.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,876.01 / $2,373.89 / $2,373.89	Facility		$1,876.01	$2,373.89	$2,373.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,858.70 / $2,373.89 / $3,449.21	Professional		$1,858.70	$2,373.89	$3,449.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,993.32 / $2,430.88 / $2,795.51	Professional		$1,993.32	$2,430.88	$2,795.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,157.85 / $1,570.43 / $2,321.69	Professional		$1,157.85	$1,570.43	$2,321.69