Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,562.41 / $5,562.41 / $5,562.41	Facility		$5,562.41	$5,562.41	$5,562.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,337.97 / $5,562.41 / $5,562.41	Professional		$4,337.97	$5,562.41	$5,562.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,742.10 / $29,371.94 / $53,495.98	Facility		$14,742.10	$29,371.94	$53,495.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,253.00 / $9,740.00 / $13,149.00	Professional		$9,253.00	$9,740.00	$13,149.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,238.84 / $5,689.04 / $6,331.00	Facility		$5,238.84	$5,689.04	$6,331.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7,792.00 / $7,792.00 / $7,792.00	Professional		$7,792.00	$7,792.00	$7,792.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,300.68 / $6,300.68 / $6,300.68	Facility		$6,300.68	$6,300.68	$6,300.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,300.68 / $6,300.68 / $11,291.63	Professional		$6,300.68	$6,300.68	$11,291.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5,562.41 / $7,038.55 / $7,038.55	Facility		$5,562.41	$7,038.55	$7,038.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5,562.41 / $7,038.55 / $10,474.00	Professional		$5,562.41	$7,038.55	$10,474.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,126.46 / $7,207.60 / $8,288.74	Professional		$6,126.46	$7,207.60	$8,288.74
United Facility/Professional Professional Modifier Low / Median / High Price $3,350.77 / $4,656.33 / $6,701.54	Professional		$3,350.77	$4,656.33	$6,701.54