Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,932.50 / $6,932.50 / $6,932.50	Facility		$6,932.50	$6,932.50	$6,932.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,932.50 / $6,932.50 / $6,932.50	Professional		$6,932.50	$6,932.50	$6,932.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.33 / $46,542.75 / $62,057.00	Facility		$3,645.33	$46,542.75	$62,057.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $944.31 / $9,691.56 / $17,444.81	Professional		$944.31	$9,691.56	$17,444.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.21 / $512.21 / $5,122.16	Facility		$512.21	$512.21	$5,122.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,090.21 / $1,090.21 / $10,902.12	Professional		$1,090.21	$1,090.21	$10,902.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6,932.50 / $6,932.50 / $6,932.50	Professional		$6,932.50	$6,932.50	$6,932.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00