Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,874.59 / $7,874.59 / $7,874.59	Facility		$7,874.59	$7,874.59	$7,874.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,197.07 / $7,874.59 / $10,569.00	Professional		$5,197.07	$7,874.59	$10,569.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,101.58 / $14,065.13 / $18,753.52	Facility		$1,101.58	$14,065.13	$18,753.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.36 / $2,928.77 / $5,271.79	Professional		$285.36	$2,928.77	$5,271.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,381.18 / $6,381.18 / $6,381.18	Facility		$6,381.18	$6,381.18	$6,381.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,100.47 / $7,100.47 / $7,100.47	Facility		$7,100.47	$7,100.47	$7,100.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,100.47 / $7,100.47 / $7,100.47	Professional		$7,100.47	$7,100.47	$7,100.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.81 / $272.39 / $7,874.59	Professional		$138.81	$272.39	$7,874.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00