Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,746.48 / $8,746.48 / $8,746.48	Facility		$8,746.48	$8,746.48	$8,746.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,478.24 / $8,746.48 / $8,746.48	Professional		$7,478.24	$8,746.48	$8,746.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,180.86 / $46,185.21 / $84,118.47	Facility		$23,180.86	$46,185.21	$84,118.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14,549.66 / $15,315.43 / $20,675.83	Professional		$14,549.66	$15,315.43	$20,675.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,955.03 / $10,148.79 / $10,554.77	Facility		$9,955.03	$10,148.79	$10,554.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12,252.34 / $12,252.34 / $12,252.34	Professional		$12,252.34	$12,252.34	$12,252.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,907.40 / $9,907.40 / $9,907.40	Facility		$9,907.40	$9,907.40	$9,907.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,907.40 / $9,907.40 / $17,755.13	Professional		$9,907.40	$9,907.40	$17,755.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $8,746.48 / $11,067.65 / $11,067.65	Facility		$8,746.48	$11,067.65	$11,067.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8,746.48 / $11,067.65 / $17,612.74	Professional		$8,746.48	$11,067.65	$17,612.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,633.40 / $11,333.42 / $13,033.43	Professional		$9,633.40	$11,333.42	$13,033.43
United Facility/Professional Professional Modifier Low / Median / High Price $6,010.80 / $7,321.76 / $11,114.95	Professional		$6,010.80	$7,321.76	$11,114.95