Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,911.02 / $2,911.02 / $2,911.02	Facility		$2,911.02	$2,911.02	$2,911.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,892.51 / $2,911.02 / $2,911.02	Professional		$1,892.51	$2,911.02	$2,911.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,715.10 / $15,371.45 / $27,996.47	Facility		$7,715.10	$15,371.45	$27,996.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,842.43 / $5,097.31 / $6,881.37	Professional		$4,842.43	$5,097.31	$6,881.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,508.66 / $2,748.22 / $3,313.25	Facility		$2,508.66	$2,748.22	$3,313.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,077.85 / $4,077.85 / $4,077.85	Professional		$4,077.85	$4,077.85	$4,077.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.39 / $3,297.39 / $3,297.39	Facility		$3,297.39	$3,297.39	$3,297.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,407.09 / $3,297.39 / $5,909.25	Professional		$2,407.09	$3,297.39	$5,909.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,911.02 / $3,683.55 / $3,683.55	Facility		$2,911.02	$3,683.55	$3,683.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,884.14 / $3,683.55 / $5,352.17	Professional		$2,884.14	$3,683.55	$5,352.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,206.20 / $3,772.01 / $4,337.81	Professional		$3,206.20	$3,772.01	$4,337.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,332.71 / $5,097.31 / $5,097.31	Facility		$4,332.71	$5,097.31	$5,097.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,695.33 / $2,436.84 / $3,648.25	Professional		$1,695.33	$2,436.84	$3,648.25