Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.56 / $2,818.56 / $2,818.56	Facility		$2,818.56	$2,818.56	$2,818.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,348.80 / $2,818.56 / $2,818.56	Professional		$2,348.80	$2,818.56	$2,818.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,470.05 / $14,883.22 / $27,107.25	Facility		$7,470.05	$14,883.22	$27,107.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,688.64 / $4,935.41 / $6,662.80	Professional		$4,688.64	$4,935.41	$6,662.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,131.11 / $3,208.02 / $3,225.36	Facility		$3,131.11	$3,208.02	$3,225.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,948.33 / $3,948.33 / $3,948.33	Professional		$3,948.33	$3,948.33	$3,948.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $2,801.20	Facility		$2,801.20	$2,801.20	$2,801.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $4,103.70 / $7,152.19	Professional		$2,044.88	$4,103.70	$7,152.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,818.56 / $3,566.55 / $3,566.55	Facility		$2,818.56	$3,566.55	$3,566.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,792.53 / $3,566.55 / $5,182.18	Professional		$2,792.53	$3,566.55	$5,182.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,104.37 / $3,652.20 / $4,200.03	Professional		$3,104.37	$3,652.20	$4,200.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,832.97 / $2,359.44 / $3,488.48	Professional		$1,832.97	$2,359.44	$3,488.48