Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,709.57 / $7,709.57 / $7,709.57	Facility		$7,709.57	$7,709.57	$7,709.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,976.67 / $7,709.57 / $7,709.57	Professional		$5,976.67	$7,709.57	$7,709.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,432.74 / $40,709.91 / $74,146.14	Facility		$20,432.74	$40,709.91	$74,146.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,824.78 / $13,499.77 / $18,224.68	Professional		$12,824.78	$13,499.77	$18,224.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,211.06 / $7,703.38 / $8,774.85	Facility		$7,211.06	$7,703.38	$8,774.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10,799.82 / $10,799.82 / $10,799.82	Professional		$10,799.82	$10,799.82	$10,799.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,732.85 / $8,732.85 / $8,732.85	Facility		$8,732.85	$8,732.85	$8,732.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,732.85 / $8,732.85 / $15,650.25	Professional		$8,732.85	$8,732.85	$15,650.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7,709.57 / $9,755.56 / $9,755.56	Facility		$7,709.57	$9,755.56	$9,755.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7,709.57 / $9,755.56 / $15,183.80	Professional		$7,709.57	$9,755.56	$15,183.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,491.35 / $9,989.83 / $11,488.30	Professional		$8,491.35	$9,989.83	$11,488.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,544.86 / $5,544.86 / $5,544.86	Facility		$5,544.86	$5,544.86	$5,544.86
United Facility/Professional Professional Modifier Low / Median / High Price $4,612.20 / $6,453.75 / $9,541.09	Professional		$4,612.20	$6,453.75	$9,541.09