Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.19 / $4,257.58 / $7,374.37	Facility		$469.19	$4,257.58	$7,374.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.18 / $428.51 / $618.71	Professional		$354.18	$428.51	$618.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,521.10 / $4,110.18 / $5,599.19	Facility		$3,521.10	$4,110.18	$5,599.19
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,374.96 / $2,920.93 / $3,645.70	Facility	50	$2,374.96	$2,920.93	$3,645.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $559.76 / $824.31	Professional		$99.44	$559.76	$824.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.37 / $448.70 / $493.66	Facility		$332.37	$448.70	$493.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.82 / $398.60 / $436.92	Professional		$334.82	$398.60	$436.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.83 / $409.03 / $718.50	Professional		$324.83	$409.03	$718.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $446.85 / $4,698.00 / $7,326.05	Facility		$446.85	$4,698.00	$7,326.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $363.03 / $446.85 / $618.71	Professional		$363.03	$446.85	$618.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.75 / $380.49 / $541.27	Professional		$301.75	$380.49	$541.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.12 / $469.20 / $636.29	Professional		$406.12	$469.20	$636.29