Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,224.78 / $12,224.78 / $12,224.78	Facility		$12,224.78	$12,224.78	$12,224.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,406.58 / $12,224.78 / $12,224.78	Professional		$10,406.58	$12,224.78	$12,224.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32,399.46 / $64,552.21 / $117,570.81	Facility		$32,399.46	$64,552.21	$117,570.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20,335.79 / $21,406.09 / $28,898.22	Professional		$20,335.79	$21,406.09	$28,898.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,828.87 / $13,794.63 / $13,913.96	Facility		$12,828.87	$13,794.63	$13,913.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17,124.87 / $17,124.87 / $17,124.87	Professional		$17,124.87	$17,124.87	$17,124.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,847.37 / $13,847.37 / $13,847.37	Facility		$13,847.37	$13,847.37	$13,847.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13,847.37 / $13,847.37 / $24,816.00	Professional		$13,847.37	$13,847.37	$24,816.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12,224.78 / $15,469.03 / $15,469.03	Facility		$12,224.78	$15,469.03	$15,469.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12,224.78 / $15,469.03 / $24,076.40	Professional		$12,224.78	$15,469.03	$24,076.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $13,464.43 / $15,840.51 / $18,216.58	Professional		$13,464.43	$15,840.51	$18,216.58
United Facility/Professional Professional Modifier Low / Median / High Price $7,974.08 / $10,233.48 / $15,176.20	Professional		$7,974.08	$10,233.48	$15,176.20