Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,314.45 / $8,314.45 / $8,314.45	Facility		$8,314.45	$8,314.45	$8,314.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,047.90 / $8,314.45 / $8,314.45	Professional		$7,047.90	$8,314.45	$8,314.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,035.84 / $43,903.88 / $79,963.41	Facility		$22,035.84	$43,903.88	$79,963.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,830.97 / $14,558.92 / $19,654.54	Professional		$13,830.97	$14,558.92	$19,654.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,317.82 / $9,463.29 / $9,559.43	Facility		$9,317.82	$9,463.29	$9,559.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11,647.14 / $11,647.14 / $11,647.14	Professional		$11,647.14	$11,647.14	$11,647.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,418.01 / $9,418.01 / $9,418.01	Facility		$9,418.01	$9,418.01	$9,418.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,418.01 / $9,418.01 / $16,878.38	Professional		$9,418.01	$9,418.01	$16,878.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8,314.45 / $10,520.96 / $10,520.96	Facility		$8,314.45	$10,520.96	$10,520.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8,314.45 / $10,520.96 / $16,375.10	Professional		$8,314.45	$10,520.96	$16,375.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,157.56 / $10,773.60 / $12,389.64	Professional		$9,157.56	$10,773.60	$12,389.64
United Facility/Professional Facility Modifier Low / Median / High Price $7,164.85 / $7,164.85 / $7,164.85	Facility		$7,164.85	$7,164.85	$7,164.85
United Facility/Professional Professional Modifier Low / Median / High Price $5,959.70 / $7,151.63 / $11,020.45	Professional		$5,959.70	$7,151.63	$11,020.45