Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,918.60 / $4,918.60 / $4,918.60	Facility		$4,918.60	$4,918.60	$4,918.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,098.83 / $4,918.60 / $4,918.60	Professional		$4,098.83	$4,918.60	$4,918.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,035.80 / $25,972.34 / $47,304.17	Facility		$13,035.80	$25,972.34	$47,304.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,182.03 / $8,612.66 / $11,627.09	Professional		$8,182.03	$8,612.66	$11,627.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,430.96 / $5,579.42 / $5,598.23	Facility		$5,430.96	$5,579.42	$5,598.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,890.13 / $6,890.13 / $6,890.13	Professional		$6,890.13	$6,890.13	$6,890.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,751.45 / $4,751.45 / $4,751.45	Facility		$4,751.45	$4,751.45	$4,751.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,751.45 / $4,751.45 / $9,984.75	Professional		$4,751.45	$4,751.45	$9,984.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,918.60 / $6,223.91 / $6,223.91	Facility		$4,918.60	$6,223.91	$6,223.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,918.60 / $6,223.91 / $9,904.54	Professional		$4,918.60	$6,223.91	$9,904.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,161.31 / $4,117.39 / $6,472.47	Professional		$3,161.31	$4,117.39	$6,472.47