Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,169.93 / $6,169.93 / $6,169.93	Facility		$6,169.93	$6,169.93	$6,169.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,141.60 / $6,169.93 / $6,169.93	Professional		$5,141.60	$6,169.93	$6,169.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,352.21 / $32,579.91 / $59,338.74	Facility		$16,352.21	$32,579.91	$59,338.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,263.60 / $10,803.79 / $14,585.12	Professional		$10,263.60	$10,803.79	$14,585.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,592.69 / $7,008.93 / $7,022.46	Facility		$6,592.69	$7,008.93	$7,022.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,643.03 / $8,643.03 / $8,643.03	Professional		$8,643.03	$8,643.03	$8,643.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,261.93 / $7,261.93 / $7,261.93	Facility		$7,261.93	$7,261.93	$7,261.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $8,983.15 / $15,656.25	Professional		$5,301.21	$8,983.15	$15,656.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6,169.93 / $7,807.30 / $7,807.30	Facility		$6,169.93	$7,807.30	$7,807.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6,169.93 / $7,807.30 / $12,151.51	Professional		$6,169.93	$7,807.30	$12,151.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,795.58 / $7,994.80 / $9,194.02	Professional		$6,795.58	$7,994.80	$9,194.02
United Facility/Professional Professional Modifier Low / Median / High Price $3,844.58 / $5,164.89 / $7,732.48	Professional		$3,844.58	$5,164.89	$7,732.48