Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,013.44 / $8,013.44 / $8,013.44	Facility		$8,013.44	$8,013.44	$8,013.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,302.18 / $8,013.44 / $8,013.44	Professional		$6,302.18	$8,013.44	$8,013.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,238.10 / $42,314.48 / $77,068.59	Facility		$21,238.10	$42,314.48	$77,068.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,330.27 / $14,031.86 / $18,943.00	Professional		$13,330.27	$14,031.86	$18,943.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,295.44 / $8,363.62 / $9,120.70	Facility		$8,295.44	$8,363.62	$9,120.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11,225.49 / $11,225.49 / $11,225.49	Professional		$11,225.49	$11,225.49	$11,225.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,077.06 / $9,077.06 / $9,077.06	Facility		$9,077.06	$9,077.06	$9,077.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,077.06 / $9,077.06 / $16,267.13	Professional		$9,077.06	$9,077.06	$16,267.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8,013.44 / $10,140.07 / $10,140.07	Facility		$8,013.44	$10,140.07	$10,140.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8,013.44 / $10,140.07 / $16,136.63	Professional		$8,013.44	$10,140.07	$16,136.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,826.04 / $10,383.58 / $11,941.11	Professional		$8,826.04	$10,383.58	$11,941.11
United Facility/Professional Professional Modifier Low / Median / High Price $5,093.30 / $6,708.13 / $9,693.52	Professional		$5,093.30	$6,708.13	$9,693.52