Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,118.43 / $3,118.43 / $3,118.43	Facility		$3,118.43	$3,118.43	$3,118.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,387.58 / $3,118.43 / $3,118.43	Professional		$2,387.58	$3,118.43	$3,118.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,264.81 / $16,466.68 / $29,991.25	Facility		$8,264.81	$16,466.68	$29,991.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,187.47 / $5,460.50 / $7,371.68	Professional		$5,187.47	$5,460.50	$7,371.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,974.93 / $3,041.37 / $3,549.33	Facility		$2,974.93	$3,041.37	$3,549.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,368.39 / $4,368.39 / $4,368.39	Professional		$4,368.39	$4,368.39	$4,368.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,532.34 / $3,532.34 / $3,532.34	Facility		$3,532.34	$3,532.34	$3,532.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,532.34 / $3,532.34 / $6,330.38	Professional		$3,532.34	$3,532.34	$6,330.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,118.43 / $3,946.02 / $3,946.02	Facility		$3,118.43	$3,946.02	$3,946.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,089.65 / $3,946.02 / $5,733.52	Professional		$3,089.65	$3,946.02	$5,733.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,313.43 / $4,040.77 / $4,646.88	Professional		$3,313.43	$4,040.77	$4,646.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,050.06 / $3,050.06 / $3,050.06	Facility		$3,050.06	$3,050.06	$3,050.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.77 / $2,610.46 / $3,908.19	Professional		$1,902.77	$2,610.46	$3,908.19