Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,147.04 / $4,147.04 / $4,147.04	Facility		$4,147.04	$4,147.04	$4,147.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,453.75 / $4,147.04 / $4,147.04	Professional		$3,453.75	$4,147.04	$4,147.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,990.94 / $21,898.20 / $39,883.83	Facility		$10,990.94	$21,898.20	$39,883.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,898.56 / $7,261.64 / $9,803.20	Professional		$6,898.56	$7,261.64	$9,803.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,574.46 / $4,720.07 / $5,806.07	Facility		$4,574.46	$4,720.07	$5,806.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,809.31 / $5,809.31 / $5,809.31	Professional		$5,809.31	$5,809.31	$5,809.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,697.47 / $4,697.47 / $4,697.47	Facility		$4,697.47	$4,697.47	$4,697.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,429.16 / $6,037.92 / $10,522.97	Professional		$3,429.16	$6,037.92	$10,522.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,147.04 / $5,247.60 / $5,247.60	Facility		$4,147.04	$5,247.60	$5,247.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,147.04 / $5,247.60 / $8,167.50	Professional		$4,147.04	$5,247.60	$8,167.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,567.56 / $5,373.61 / $6,179.65	Professional		$4,567.56	$5,373.61	$6,179.65
United Facility/Professional Professional Modifier Low / Median / High Price $2,925.83 / $3,511.00 / $5,410.34	Professional		$2,925.83	$3,511.00	$5,410.34