Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,451.85 / $2,451.85 / $2,451.85	Facility		$2,451.85	$2,451.85	$2,451.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,957.31 / $2,451.85 / $2,451.85	Professional		$1,957.31	$2,451.85	$2,451.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,498.16 / $12,946.85 / $23,580.47	Facility		$6,498.16	$12,946.85	$23,580.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,078.63 / $4,293.29 / $5,795.94	Professional		$4,078.63	$4,293.29	$5,795.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,405.29 / $2,418.48 / $2,790.64	Facility		$2,405.29	$2,418.48	$2,790.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,434.63 / $3,434.63 / $3,434.63	Professional		$3,434.63	$3,434.63	$3,434.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $2,717.61	Facility		$2,717.61	$2,717.61	$2,717.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,717.61 / $2,717.61 / $4,977.38	Professional		$2,717.61	$2,717.61	$4,977.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,451.85 / $3,102.55 / $3,102.55	Facility		$2,451.85	$3,102.55	$3,102.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,429.23 / $3,102.55 / $4,507.95	Professional		$2,429.23	$3,102.55	$4,507.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,605.16 / $3,177.03 / $3,653.58	Professional		$2,605.16	$3,177.03	$3,653.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,538.43 / $2,052.46 / $2,927.92	Professional		$1,538.43	$2,052.46	$2,927.92