Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,140.94 / $2,140.94 / $2,140.94	Facility		$2,140.94	$2,140.94	$2,140.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,784.12 / $2,140.94 / $2,140.94	Professional		$1,784.12	$2,140.94	$2,140.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,674.15 / $11,305.09 / $20,590.29	Facility		$5,674.15	$11,305.09	$20,590.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,561.43 / $3,748.87 / $5,060.97	Professional		$3,561.43	$3,748.87	$5,060.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,162.80 / $2,297.44 / $2,436.77	Facility		$2,162.80	$2,297.44	$2,436.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,999.10 / $2,999.10 / $2,999.10	Professional		$2,999.10	$2,999.10	$2,999.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $2,425.11	Facility		$2,425.11	$2,425.11	$2,425.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $4,346.25	Professional		$2,425.11	$2,425.11	$4,346.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,140.94 / $2,709.12 / $2,709.12	Facility		$2,140.94	$2,709.12	$2,709.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,140.94 / $2,709.12 / $4,216.54	Professional		$2,140.94	$2,709.12	$4,216.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,222.85	Professional		$30.00	$30.00	$1,222.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.80 / $1,792.21 / $2,504.90	Professional		$1,312.80	$1,792.21	$2,504.90