Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.17 / $757.89 / $5,855.60	Facility		$491.17	$757.89	$5,855.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.70 / $588.79 / $805.64	Professional		$358.70	$588.79	$805.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,091.92 / $2,440.17 / $3,433.14	Facility		$2,091.92	$2,440.17	$3,433.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $415.28 / $776.23	Professional		$105.57	$415.28	$776.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.41 / $431.65 / $582.83	Facility		$392.41	$431.65	$582.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $605.33 / $661.84 / $981.14	Professional		$605.33	$661.84	$981.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.24 / $572.89 / $1,677.57	Professional		$355.24	$572.89	$1,677.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $491.17 / $771.53 / $5,855.60	Facility		$491.17	$771.53	$5,855.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $402.82 / $716.69 / $954.94	Professional		$402.82	$716.69	$954.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $518.10 / $642.49 / $892.03	Professional		$518.10	$642.49	$892.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $3,690.00 / $7,574.87	Facility		$1,362.00	$3,690.00	$7,574.87
United Facility/Professional Professional Modifier Low / Median / High Price $628.16 / $822.22 / $1,035.36	Professional		$628.16	$822.22	$1,035.36