Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,957.29 / $1,957.29 / $1,957.29	Facility		$1,957.29	$1,957.29	$1,957.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,631.08 / $1,957.29 / $1,957.29	Professional		$1,631.08	$1,957.29	$1,957.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,187.43 / $10,335.37 / $18,824.09	Facility		$5,187.43	$10,335.37	$18,824.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,255.94 / $3,427.30 / $4,626.85	Professional		$3,255.94	$3,427.30	$4,626.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,174.33 / $2,227.75 / $2,239.78	Facility		$2,174.33	$2,227.75	$2,239.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,741.84 / $2,741.84 / $2,741.84	Professional		$2,741.84	$2,741.84	$2,741.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.07 / $2,217.07 / $2,217.07	Facility		$2,217.07	$2,217.07	$2,217.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,217.07 / $2,217.07 / $3,973.13	Professional		$2,217.07	$2,217.07	$3,973.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,957.29 / $2,476.71 / $2,476.71	Facility		$1,957.29	$2,476.71	$2,476.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,939.21 / $2,476.71 / $3,598.66	Professional		$1,939.21	$2,476.71	$3,598.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,079.68 / $2,536.19 / $2,916.63	Professional		$2,079.68	$2,536.19	$2,916.63
United Facility/Professional Facility Modifier Low / Median / High Price $25.23 / $2,018.42 / $2,301.38	Facility		$25.23	$2,018.42	$2,301.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.86 / $1,638.46 / $2,422.51	Professional		$1,272.86	$1,638.46	$2,422.51