Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.21 / $3,576.22 / $7,941.30	Facility		$933.21	$3,576.22	$7,941.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.09 / $729.45 / $1,410.82	Professional		$525.09	$729.45	$1,410.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,249.68 / $4,960.67 / $6,757.80	Facility		$4,249.68	$4,960.67	$6,757.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.93 / $597.55 / $1,119.44	Professional		$177.93	$597.55	$1,119.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $619.75 / $836.66 / $920.49	Facility		$619.75	$836.66	$920.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $636.29 / $757.50 / $811.68	Professional		$636.29	$757.50	$811.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.82 / $739.86 / $1,394.31	Professional		$478.82	$739.86	$1,394.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $888.77 / $4,698.00 / $9,580.62	Facility		$888.77	$4,698.00	$9,580.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $601.00 / $814.27 / $1,460.91	Professional		$601.00	$814.27	$1,460.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $488.22 / $788.93	Professional		$68.56	$488.22	$788.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $5,202.00 / $7,355.00	Facility		$2,248.00	$5,202.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.04 / $798.59 / $1,147.01	Professional		$616.04	$798.59	$1,147.01