Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.04 / $2,870.05 / $2,870.05	Facility		$2,583.04	$2,870.05	$2,870.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,453.89 / $2,583.04 / $2,870.05	Professional		$2,453.89	$2,583.04	$2,870.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,606.51 / $15,155.11 / $27,602.44	Facility		$7,606.51	$15,155.11	$27,602.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,774.29 / $5,025.57 / $6,784.52	Professional		$4,774.29	$5,025.57	$6,784.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,280.99 / $3,103.27 / $3,278.19	Facility		$1,280.99	$3,103.27	$3,278.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,608.17 / $3,819.41 / $4,020.46	Professional		$1,608.17	$3,819.41	$4,020.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $2,802.84	Facility		$2,802.84	$2,802.84	$2,802.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $5,826.00	Professional		$2,802.84	$2,802.84	$5,826.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,870.05 / $3,631.71 / $3,631.71	Facility		$2,870.05	$3,631.71	$3,631.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,583.04 / $3,631.71 / $5,652.48	Professional		$2,583.04	$3,631.71	$5,652.48
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 $1,864.83 / $2,402.54 / $3,551.86	Professional		$1,864.83	$2,402.54	$3,551.86