Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.85 / $3,482.75 / $5,999.99	Facility		$417.85	$3,482.75	$5,999.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.84 / $417.70 / $625.02	Professional		$237.84	$417.70	$625.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,776.30 / $2,070.34 / $2,804.98	Facility		$1,776.30	$2,070.34	$2,804.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $178.42 / $337.62	Professional		$46.67	$178.42	$337.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.26 / $293.30 / $322.68	Facility		$217.26	$293.30	$322.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $376.73 / $400.48	Professional		$316.45	$376.73	$400.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.61 / $360.39 / $665.42	Professional		$218.61	$360.39	$665.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $438.74 / $3,456.05 / $5,999.99	Facility		$438.74	$3,456.05	$5,999.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $289.01 / $415.26 / $625.02	Professional		$289.01	$415.26	$625.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $254.62 / $382.31	Professional		$30.79	$254.62	$382.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $5,048.00 / $7,355.00	Facility		$2,248.00	$5,048.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.42 / $513.88 / $678.99	Professional		$389.42	$513.88	$678.99