Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,498.87 / $17,196.28 / $37,862.56	Facility		$13,498.87	$17,196.28	$37,862.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,249.07 / $13,498.88 / $13,498.88	Professional		$11,249.07	$13,498.88	$13,498.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,637.07 / $23,637.07 / $23,637.07	Facility		$23,637.07	$23,637.07	$23,637.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22,455.22 / $23,637.07 / $31,910.04	Professional		$22,455.22	$23,637.07	$31,910.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14,935.90 / $15,213.01 / $15,364.10	Facility		$14,935.90	$15,213.01	$15,364.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18,909.66 / $18,909.66 / $18,909.66	Professional		$18,909.66	$18,909.66	$18,909.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,034.23 / $13,034.23 / $13,034.23	Facility		$13,034.23	$13,034.23	$13,034.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,568.00 / $13,034.23 / $27,402.38	Professional		$12,568.00	$13,034.23	$27,402.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $13,498.87 / $24,430.00 / $63,874.67	Facility		$13,498.87	$24,430.00	$63,874.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13,498.88 / $17,081.24 / $26,585.69	Professional		$13,498.88	$17,081.24	$26,585.69
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 $8,672.14 / $11,300.03 / $16,930.11	Professional		$8,672.14	$11,300.03	$16,930.11