Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,220.74 / $4,220.74 / $4,220.74	Facility		$4,220.74	$4,220.74	$4,220.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,458.82 / $4,220.74 / $4,220.74	Professional		$3,458.82	$4,220.74	$4,220.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,390.68 / $7,390.68 / $7,390.68	Facility		$7,390.68	$7,390.68	$7,390.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,021.15 / $7,390.68 / $9,977.42	Professional		$7,021.15	$7,390.68	$9,977.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,584.89 / $4,584.89 / $4,703.39	Facility		$4,584.89	$4,584.89	$4,703.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,912.54 / $5,912.54 / $5,912.54	Professional		$5,912.54	$5,912.54	$5,912.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,063.89 / $4,063.89 / $4,063.89	Facility		$4,063.89	$4,063.89	$4,063.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,063.89 / $4,063.89 / $8,568.00	Professional		$4,063.89	$4,063.89	$8,568.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,220.74 / $5,340.85 / $5,340.85	Facility		$4,220.74	$5,340.85	$5,340.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,220.74 / $5,340.85 / $8,216.00	Professional		$4,220.74	$5,340.85	$8,216.00
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 $2,813.82 / $3,508.66 / $5,289.66	Professional		$2,813.82	$3,508.66	$5,289.66