Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.62 / $798.62 / $1,245.84	Facility		$798.62	$798.62	$1,245.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.33 / $798.62 / $798.62	Professional		$689.33	$798.62	$798.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.51 / $589.51 / $589.51	Facility		$589.51	$589.51	$589.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.87 / $589.51 / $795.84	Professional		$400.87	$589.51	$795.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.49 / $840.65 / $1,966.22	Facility		$630.49	$840.65	$1,966.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $546.41 / $546.41 / $840.65	Professional		$546.41	$546.41	$840.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $1,024.65 / $1,280.81	Professional		$966.01	$1,024.65	$1,280.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $798.62 / $798.62 / $1,467.46	Facility		$798.62	$798.62	$1,467.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $798.62 / $807.02 / $1,008.78	Professional		$798.62	$807.02	$1,008.78
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $504.39 / $699.69	Professional		$353.07	$504.39	$699.69