Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,407.67 / $2,407.67 / $2,407.67	Facility		$2,407.67	$2,407.67	$2,407.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,006.40 / $2,407.67 / $2,407.67	Professional		$2,006.40	$2,407.67	$2,407.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,381.08 / $12,713.56 / $23,155.57	Facility		$6,381.08	$12,713.56	$23,155.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,005.13 / $4,215.93 / $5,691.51	Professional		$4,005.13	$4,215.93	$5,691.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,407.26 / $2,530.21 / $2,740.35	Facility		$2,407.26	$2,530.21	$2,740.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,372.74 / $3,372.74 / $3,372.74	Professional		$3,372.74	$3,372.74	$3,372.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $2,970.85	Facility		$2,970.85	$2,970.85	$2,970.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $4,887.38	Professional		$2,970.85	$2,970.85	$4,887.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,407.67 / $3,046.62 / $3,046.62	Facility		$2,407.67	$3,046.62	$3,046.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,385.44 / $3,046.62 / $4,426.72	Professional		$2,385.44	$3,046.62	$4,426.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,558.22 / $3,119.79 / $3,587.75	Professional		$2,558.22	$3,119.79	$3,587.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,605.12 / $1,979.81 / $3,017.43	Professional		$1,605.12	$1,979.81	$3,017.43