Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,090.90 / $11,090.90 / $11,090.90	Facility		$11,090.90	$11,090.90	$11,090.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,426.14 / $11,090.90 / $11,090.90	Professional		$9,426.14	$11,090.90	$11,090.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29,394.31 / $58,564.79 / $106,665.76	Facility		$29,394.31	$58,564.79	$106,665.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18,449.58 / $19,420.61 / $26,217.82	Professional		$18,449.58	$19,420.61	$26,217.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,730.03 / $12,495.00 / $12,623.40	Facility		$11,730.03	$12,495.00	$12,623.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15,536.49 / $15,536.49 / $15,536.49	Professional		$15,536.49	$15,536.49	$15,536.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,562.99 / $12,562.99 / $12,562.99	Facility		$12,562.99	$12,562.99	$12,562.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,562.99 / $12,562.99 / $22,514.25	Professional		$12,562.99	$12,562.99	$22,514.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $11,090.90 / $14,034.24 / $14,034.24	Facility		$11,090.90	$14,034.24	$14,034.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11,090.90 / $14,034.24 / $21,843.23	Professional		$11,090.90	$14,034.24	$21,843.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $12,215.56 / $14,371.25 / $16,526.93	Professional		$12,215.56	$14,371.25	$16,526.93
United Facility/Professional Professional Modifier Low / Median / High Price $7,277.73 / $9,284.29 / $13,899.72	Professional		$7,277.73	$9,284.29	$13,899.72