Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,140.93 / $6,140.93 / $6,140.93	Facility		$6,140.93	$6,140.93	$6,140.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,078.57 / $6,140.93 / $6,140.93	Professional		$5,078.57	$6,140.93	$6,140.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,275.37 / $32,426.81 / $59,059.89	Facility		$16,275.37	$32,426.81	$59,059.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,215.37 / $10,753.02 / $14,516.58	Professional		$10,215.37	$10,753.02	$14,516.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,731.99 / $6,989.46 / $7,117.70	Facility		$6,731.99	$6,989.46	$7,117.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,602.42 / $8,602.42 / $8,602.42	Professional		$8,602.42	$8,602.42	$8,602.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,503.37 / $7,503.37 / $7,503.37	Facility		$7,503.37	$7,503.37	$7,503.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,503.37 / $7,503.37 / $12,466.13	Professional		$7,503.37	$7,503.37	$12,466.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6,140.93 / $7,770.63 / $7,770.63	Facility		$6,140.93	$7,770.63	$7,770.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5,731.54 / $7,770.63 / $11,290.67	Professional		$5,731.54	$7,770.63	$11,290.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,763.64 / $7,957.23 / $9,150.81	Professional		$6,763.64	$7,957.23	$9,150.81
United Facility/Professional Professional Modifier Low / Median / High Price $3,916.55 / $5,140.63 / $7,696.15	Professional		$3,916.55	$5,140.63	$7,696.15