Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,472.12 / $16,472.12 / $16,472.12	Facility		$16,472.12	$16,472.12	$16,472.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,726.77 / $16,472.12 / $16,472.12	Professional		$13,726.77	$16,472.12	$16,472.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43,656.20 / $86,979.98 / $158,419.16	Facility		$43,656.20	$86,979.98	$158,419.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27,401.17 / $28,843.34 / $38,938.51	Professional		$27,401.17	$28,843.34	$38,938.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18,298.77 / $18,748.16 / $18,849.79	Facility		$18,298.77	$18,748.16	$18,849.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23,074.67 / $23,074.67 / $23,074.67	Professional		$23,074.67	$23,074.67	$23,074.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,524.00 / $16,524.00 / $16,524.00	Facility		$16,524.00	$16,524.00	$16,524.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,524.00 / $16,524.00 / $33,438.37	Professional		$16,524.00	$16,524.00	$33,438.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $506.84 / $506.84 / $16,472.12	Facility		$506.84	$506.84	$16,472.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $506.84 / $16,472.12 / $30,285.50	Professional		$506.84	$16,472.12	$30,285.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $18,142.45 / $21,344.07 / $24,545.68	Professional		$18,142.45	$21,344.07	$24,545.68
United Facility/Professional Professional Modifier Low / Median / High Price $10,714.88 / $13,788.96 / $21,429.76	Professional		$10,714.88	$13,788.96	$21,429.76