Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,531.66 / $13,531.66 / $13,531.66	Facility		$13,531.66	$13,531.66	$13,531.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,748.77 / $13,531.66 / $16,247.00	Professional		$7,748.77	$13,531.66	$16,247.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,151.28 / $14,699.23 / $19,598.98	Facility		$1,151.28	$14,699.23	$19,598.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.93 / $2,907.77 / $5,509.46	Professional		$313.93	$2,907.77	$5,509.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,581.25 / $6,581.25 / $6,581.25	Facility		$6,581.25	$6,581.25	$6,581.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,619.91 / $11,619.91 / $11,619.91	Facility		$11,619.91	$11,619.91	$11,619.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,619.91 / $11,619.91 / $11,619.91	Professional		$11,619.91	$11,619.91	$11,619.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13,531.66 / $13,531.66 / $13,531.66	Professional		$13,531.66	$13,531.66	$13,531.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00