Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,775.28 / $5,775.28 / $5,775.28	Facility		$5,775.28	$5,775.28	$5,775.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,449.25 / $5,775.28 / $5,775.28	Professional		$4,449.25	$5,775.28	$5,775.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,306.28 / $30,496.01 / $55,543.27	Facility		$15,306.28	$30,496.01	$55,543.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,607.11 / $10,112.75 / $13,652.21	Professional		$9,607.11	$10,112.75	$13,652.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,206.56 / $6,013.64 / $6,573.29	Facility		$5,206.56	$6,013.64	$6,573.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,090.20 / $8,090.20 / $8,090.20	Professional		$8,090.20	$8,090.20	$8,090.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $6,541.83 / $6,541.83	Facility		$6,541.83	$6,541.83	$6,541.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,541.83 / $6,541.83 / $11,723.63	Professional		$6,541.83	$6,541.83	$11,723.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5,775.28 / $7,307.95 / $7,307.95	Facility		$5,775.28	$7,307.95	$7,307.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5,775.28 / $7,307.95 / $11,173.00	Professional		$5,775.28	$7,307.95	$11,173.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,360.92 / $7,483.44 / $8,605.95	Professional		$6,360.92	$7,483.44	$8,605.95
United Facility/Professional Facility Modifier Low / Median / High Price $9,078.09 / $10,680.11 / $10,680.11	Facility		$9,078.09	$10,680.11	$10,680.11
United Facility/Professional Professional Modifier Low / Median / High Price $3,330.12 / $4,834.55 / $6,726.86	Professional		$3,330.12	$4,834.55	$6,726.86