Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,083.09 / $2,314.55 / $2,314.55	Facility		$2,083.09	$2,314.55	$2,314.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,978.94 / $2,083.09 / $2,314.55	Professional		$1,978.94	$2,083.09	$2,314.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,134.28 / $12,221.83 / $22,259.98	Facility		$6,134.28	$12,221.83	$22,259.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,850.23 / $4,052.87 / $5,471.37	Professional		$3,850.23	$4,052.87	$5,471.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,033.04 / $2,502.66 / $2,643.71	Facility		$1,033.04	$2,502.66	$2,643.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,296.94 / $3,080.19 / $3,242.30	Professional		$1,296.94	$3,080.19	$3,242.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $3,214.74	Facility		$3,214.74	$3,214.74	$3,214.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,708.01 / $3,214.74 / $4,698.38	Professional		$2,708.01	$3,214.74	$4,698.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,314.55 / $2,928.78 / $2,928.78	Facility		$2,314.55	$2,928.78	$2,928.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,083.09 / $2,928.78 / $4,558.43	Professional		$2,083.09	$2,928.78	$4,558.43
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 $1,503.90 / $1,937.53 / $2,900.71	Professional		$1,503.90	$1,937.53	$2,900.71