Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,333.08 / $2,592.31 / $2,592.31	Facility		$2,333.08	$2,592.31	$2,592.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,216.42 / $2,333.08 / $2,592.31	Professional		$2,216.42	$2,333.08	$2,592.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,870.41 / $13,688.50 / $24,931.27	Facility		$6,870.41	$13,688.50	$24,931.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,312.27 / $4,539.22 / $6,127.96	Professional		$4,312.27	$4,539.22	$6,127.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $2,802.99 / $2,961.00	Facility		$1,157.00	$2,802.99	$2,961.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,452.57 / $3,449.83 / $3,631.38	Professional		$1,452.57	$3,449.83	$3,631.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $3,600.52	Facility		$3,600.52	$3,600.52	$3,600.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,032.98 / $3,600.52 / $5,262.38	Professional		$3,032.98	$3,600.52	$5,262.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,592.31 / $3,280.25 / $3,280.25	Facility		$2,592.31	$3,280.25	$3,280.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,333.08 / $3,280.25 / $5,105.47	Professional		$2,333.08	$3,280.25	$5,105.47
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 $1,684.38 / $2,170.04 / $3,205.69	Professional		$1,684.38	$2,170.04	$3,205.69