Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,907.43 / $5,907.43 / $5,907.44	Facility		$5,907.43	$5,907.43	$5,907.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,841.02 / $5,907.44 / $5,907.44	Professional		$4,841.02	$5,907.44	$5,907.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,675.61 / $18,707.64 / $44,967.99	Facility		$13,675.61	$18,707.64	$44,967.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,417.11 / $6,417.11 / $6,582.97	Facility		$6,417.11	$6,417.11	$6,582.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8,275.33 / $8,275.33 / $8,275.33	Professional		$8,275.33	$8,275.33	$8,275.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.89 / $5,687.89 / $5,687.89	Facility		$5,687.89	$5,687.89	$5,687.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,687.89 / $5,687.89 / $11,992.13	Professional		$5,687.89	$5,687.89	$11,992.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $5,907.43 / $7,075.14 / $7,075.14	Facility		$5,907.43	$7,075.14	$7,075.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5,907.44 / $7,075.14 / $10,861.36	Professional		$5,907.44	$7,075.14	$10,861.36
United Facility/Professional Professional Modifier Low / Median / High Price $3,784.36 / $4,945.17 / $8,096.09	Professional		$3,784.36	$4,945.17	$8,096.09