Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,329.59 / $7,329.59 / $7,329.59	Facility		$7,329.59	$7,329.59	$7,329.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,677.23 / $7,329.59 / $7,329.59	Professional		$5,677.23	$7,329.59	$7,329.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,425.68 / $38,703.48 / $70,491.77	Facility		$19,425.68	$38,703.48	$70,491.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,192.70 / $12,834.42 / $17,326.47	Professional		$12,192.70	$12,834.42	$17,326.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,900.93 / $7,152.08 / $8,342.37	Facility		$6,900.93	$7,152.08	$8,342.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,267.54 / $10,267.54 / $10,267.54	Professional		$10,267.54	$10,267.54	$10,267.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,302.44 / $8,302.44 / $8,302.44	Facility		$8,302.44	$8,302.44	$8,302.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,302.44 / $8,302.44 / $14,878.88	Professional		$8,302.44	$8,302.44	$14,878.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7,329.59 / $9,274.73 / $9,274.73	Facility		$7,329.59	$9,274.73	$9,274.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7,329.59 / $9,274.73 / $14,435.44	Professional		$7,329.59	$9,274.73	$14,435.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,413.84 / $6,135.67 / $8,537.26	Professional		$4,413.84	$6,135.67	$8,537.26