Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,873.83 / $1,873.83 / $1,873.83	Facility		$1,873.83	$1,873.83	$1,873.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,313.93 / $1,873.83 / $1,873.83	Professional		$1,313.93	$1,873.83	$1,873.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,966.22 / $9,894.64 / $18,021.39	Facility		$4,966.22	$9,894.64	$18,021.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,117.09 / $3,281.15 / $4,429.55	Professional		$3,117.09	$3,281.15	$4,429.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,741.71 / $1,837.49 / $2,132.75	Facility		$1,741.71	$1,837.49	$2,132.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,624.92 / $2,624.92 / $2,624.92	Professional		$2,624.92	$2,624.92	$2,624.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $2,283.76	Facility		$2,283.76	$2,283.76	$2,283.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $2,283.76 / $3,804.00	Professional		$1,667.14	$2,283.76	$3,804.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,873.83 / $2,371.11 / $2,371.11	Facility		$1,873.83	$2,371.11	$2,371.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,856.53 / $2,371.11 / $3,445.20	Professional		$1,856.53	$2,371.11	$3,445.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,063.84 / $2,428.05 / $2,792.25	Professional		$2,063.84	$2,428.05	$2,792.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.00 / $1,540.84 / $2,192.38	Professional		$1,114.00	$1,540.84	$2,192.38