Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,481.32 / $3,481.32 / $3,481.32	Facility		$3,481.32	$3,481.32	$3,481.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,901.10 / $3,481.32 / $3,481.32	Professional		$2,901.10	$3,481.32	$3,481.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,226.57 / $18,382.89 / $33,481.29	Facility		$9,226.57	$18,382.89	$33,481.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,791.13 / $6,095.93 / $8,229.51	Professional		$5,791.13	$6,095.93	$8,229.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,414.65 / $3,609.61 / $3,962.35	Facility		$3,414.65	$3,609.61	$3,962.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,876.74 / $4,876.74 / $4,876.74	Professional		$4,876.74	$4,876.74	$4,876.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $3,943.38	Facility		$3,943.38	$3,943.38	$3,943.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,943.38 / $3,943.38 / $7,066.88	Professional		$3,943.38	$3,943.38	$7,066.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,481.32 / $4,405.20 / $4,405.20	Facility		$3,481.32	$4,405.20	$4,405.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,449.18 / $4,405.20 / $6,400.72	Professional		$3,449.18	$4,405.20	$6,400.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,699.01 / $4,510.99 / $5,187.63	Professional		$3,699.01	$4,510.99	$5,187.63
United Facility/Professional Professional Modifier Low / Median / High Price $2,184.02 / $2,914.24 / $4,362.97	Professional		$2,184.02	$2,914.24	$4,362.97