Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.86 / $5,863.07 / $9,557.60	Facility		$911.86	$5,863.07	$9,557.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.01 / $745.49 / $1,172.08	Professional		$580.01	$745.49	$1,172.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,758.36 / $4,387.14 / $5,976.48	Facility		$3,758.36	$4,387.14	$5,976.48
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,039.06 / $2,767.21 / $3,897.19	Facility	50	$2,039.06	$2,767.21	$3,897.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.43 / $943.70 / $1,557.09	Professional		$160.43	$943.70	$1,557.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $541.05 / $730.43 / $803.61	Facility		$541.05	$730.43	$803.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $702.45 / $836.25 / $898.37	Professional		$702.45	$836.25	$898.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.33 / $783.75 / $1,231.95	Professional		$538.33	$783.75	$1,231.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $813.86 / $5,300.48 / $8,993.17	Facility		$813.86	$5,300.48	$8,993.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $674.43 / $819.77 / $1,276.77	Professional		$674.43	$819.77	$1,276.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $630.82 / $937.68	Professional		$65.66	$630.82	$937.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,359.00 / $12,767.00	Facility		$4,635.00	$10,359.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.24 / $1,053.70 / $1,385.91	Professional		$812.24	$1,053.70	$1,385.91