Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $5,133.39	Facility		$5,133.39	$5,133.39	$5,133.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $6,850.00	Professional		$5,133.39	$5,133.39	$6,850.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,938.06 / $37,512.65 / $50,016.85	Facility		$2,938.06	$37,512.65	$50,016.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.15 / $9,894.21 / $14,060.21	Professional		$801.15	$9,894.21	$14,060.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $412.83 / $412.83 / $4,128.39	Facility		$412.83	$412.83	$4,128.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $875.38 / $875.38 / $8,753.70	Professional		$875.38	$875.38	$8,753.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,161.14 / $5,133.39 / $5,133.39	Professional		$2,161.14	$5,133.39	$5,133.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00