Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.29 / $2,275.34 / $4,933.00	Facility		$266.29	$2,275.34	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.81 / $267.27 / $471.89	Professional		$187.81	$267.27	$471.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,889.55 / $2,581.01 / $5,947.47	Facility		$1,889.55	$2,581.01	$5,947.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $209.47 / $418.92	Professional		$56.97	$209.47	$418.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.65 / $233.92 / $315.83	Facility		$212.65	$233.92	$315.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $320.73 / $475.41	Professional		$292.89	$320.73	$475.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.48 / $314.79 / $910.72	Professional		$194.48	$314.79	$910.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $271.08 / $1,360.49 / $4,933.00	Facility		$271.08	$1,360.49	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $244.47 / $326.10 / $471.89	Professional		$244.47	$326.10	$471.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.92 / $338.99 / $472.94	Professional		$272.92	$338.99	$472.94
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.72 / $368.21 / $509.04	Professional		$304.72	$368.21	$509.04