Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,785.16 / $5,785.16 / $5,785.16	Facility		$5,785.16	$5,785.16	$5,785.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,820.97 / $5,785.16 / $5,785.16	Professional		$4,820.97	$5,785.16	$5,785.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,332.46 / $30,548.18 / $55,638.29	Facility		$15,332.46	$30,548.18	$55,638.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,623.54 / $10,130.04 / $13,675.57	Professional		$9,623.54	$10,130.04	$13,675.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,022.22 / $6,097.73 / $6,584.53	Facility		$6,022.22	$6,097.73	$6,584.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,104.04 / $8,104.04 / $8,104.04	Professional		$8,104.04	$8,104.04	$8,104.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $6,553.03 / $6,553.03	Facility		$6,553.03	$6,553.03	$6,553.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,553.03 / $6,553.03 / $11,743.88	Professional		$6,553.03	$6,553.03	$11,743.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5,785.16 / $7,320.45 / $7,320.45	Facility		$5,785.16	$7,320.45	$7,320.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5,785.16 / $7,320.45 / $11,393.73	Professional		$5,785.16	$7,320.45	$11,393.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,371.80 / $7,496.24 / $8,620.67	Professional		$6,371.80	$7,496.24	$8,620.67
United Facility/Professional Professional Modifier Low / Median / High Price $3,769.60 / $4,842.82 / $7,250.29	Professional		$3,769.60	$4,842.82	$7,250.29