Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,169.57 / $7,169.57 / $7,169.57	Facility		$7,169.57	$7,169.57	$7,169.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,929.62 / $7,169.57 / $7,169.57	Professional		$5,929.62	$7,169.57	$7,169.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,001.57 / $37,858.44 / $68,952.69	Facility		$19,001.57	$37,858.44	$68,952.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,926.49 / $12,554.20 / $16,948.16	Professional		$11,926.49	$12,554.20	$16,948.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,780.18 / $7,860.13 / $8,160.23	Facility		$7,780.18	$7,860.13	$8,160.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,043.36 / $10,043.36 / $10,043.36	Professional		$10,043.36	$10,043.36	$10,043.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,121.18 / $8,121.18 / $8,121.18	Facility		$8,121.18	$8,121.18	$8,121.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $10,438.59 / $18,192.66	Professional		$5,928.46	$10,438.59	$18,192.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7,169.57 / $9,072.24 / $9,072.24	Facility		$7,169.57	$9,072.24	$9,072.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7,169.57 / $9,072.24 / $14,120.28	Professional		$7,169.57	$9,072.24	$14,120.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,896.59 / $9,290.11 / $10,683.62	Professional		$7,896.59	$9,290.11	$10,683.62
United Facility/Professional Professional Modifier Low / Median / High Price $4,976.22 / $6,001.71 / $9,201.83	Professional		$4,976.22	$6,001.71	$9,201.83