Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.76 / $417.87 / $1,055.33	Facility		$405.76	$417.87	$1,055.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $572.36	Professional		$416.78	$416.78	$572.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.24 / $226.23 / $397.34	Facility		$162.24	$226.23	$397.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $150.00 / $160.50	Professional		$142.50	$150.00	$160.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $619.02 / $1,000.27	Facility		$416.78	$619.02	$1,000.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $520.98 / $562.65	Professional		$416.78	$520.98	$562.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.80 / $521.00	Professional		$416.78	$416.80	$521.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $400.11 / $424.28 / $1,055.33	Facility		$400.11	$424.28	$1,055.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $400.11 / $416.78 / $572.36	Professional		$400.11	$416.78	$572.36
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $228.84 / $421.45	Professional		$175.05	$228.84	$421.45