Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,182.89 / $7,182.89 / $7,182.89	Facility		$7,182.89	$7,182.89	$7,182.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,539.67 / $7,182.89 / $7,182.89	Professional		$5,539.67	$7,182.89	$7,182.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,036.88 / $37,928.80 / $69,080.83	Facility		$19,036.88	$37,928.80	$69,080.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,948.65 / $12,577.53 / $16,979.66	Professional		$11,948.65	$12,577.53	$16,979.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,844.89 / $7,416.70 / $8,175.39	Facility		$6,844.89	$7,416.70	$8,175.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,062.02 / $10,062.02 / $10,062.02	Professional		$10,062.02	$10,062.02	$10,062.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $8,136.27	Facility		$8,136.27	$8,136.27	$8,136.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $14,581.13	Professional		$8,136.27	$8,136.27	$14,581.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7,182.89 / $9,089.10 / $9,089.10	Facility		$7,182.89	$9,089.10	$9,089.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7,182.89 / $9,089.10 / $14,146.52	Professional		$7,182.89	$9,089.10	$14,146.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,911.26 / $9,307.37 / $10,703.47	Professional		$7,911.26	$9,307.37	$10,703.47
United Facility/Professional Professional Modifier Low / Median / High Price $4,378.00 / $6,012.86 / $8,403.95	Professional		$4,378.00	$6,012.86	$8,403.95