Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,279.69 / $3,279.70 / $3,389.50	Facility		$3,279.69	$3,279.70	$3,389.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,733.08 / $3,279.70 / $3,279.70	Professional		$2,733.08	$3,279.70	$3,279.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,742.88 / $5,742.88 / $5,742.88	Facility		$5,742.88	$5,742.88	$5,742.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,455.74 / $5,742.88 / $7,752.89	Professional		$5,455.74	$5,742.88	$7,752.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,643.43 / $3,732.87 / $3,753.12	Facility		$3,643.43	$3,732.87	$3,753.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,594.30 / $4,594.30 / $4,594.30	Professional		$4,594.30	$4,594.30	$4,594.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,536.46 / $4,536.46 / $4,536.46	Facility		$4,536.46	$4,536.46	$4,536.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,002.24 / $4,536.46 / $6,657.75	Professional		$4,002.24	$4,536.46	$6,657.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,279.69 / $3,389.50 / $19,497.28	Facility		$3,279.69	$3,389.50	$19,497.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,279.70 / $4,150.08 / $6,459.28	Professional		$3,279.70	$4,150.08	$6,459.28
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 $2,133.41 / $2,745.47 / $4,060.29	Professional		$2,133.41	$2,745.47	$4,060.29