Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,904.88 / $3,904.88 / $3,904.88	Facility		$3,904.88	$3,904.88	$3,904.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,338.67 / $3,904.88 / $3,904.88	Professional		$3,338.67	$3,904.88	$3,904.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,349.14 / $20,619.47 / $37,554.83	Facility		$10,349.14	$20,619.47	$37,554.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,495.72 / $6,837.60 / $9,230.76	Professional		$6,495.72	$6,837.60	$9,230.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,225.22 / $4,444.43 / $4,780.33	Facility		$4,225.22	$4,444.43	$4,780.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,470.08 / $5,470.08 / $5,470.08	Professional		$5,470.08	$5,470.08	$5,470.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $4,423.18	Facility		$4,423.18	$4,423.18	$4,423.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,679.16 / $4,423.18 / $7,926.75	Professional		$3,679.16	$4,423.18	$7,926.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,904.88 / $4,941.18 / $4,941.18	Facility		$3,904.88	$4,941.18	$4,941.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,904.88 / $4,941.18 / $7,690.56	Professional		$3,904.88	$4,941.18	$7,690.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,300.84 / $5,059.82 / $5,818.79	Professional		$4,300.84	$5,059.82	$5,818.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,702.47 / $3,268.81 / $5,143.31	Professional		$2,702.47	$3,268.81	$5,143.31