Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.94 / $596.91 / $1,241.57	Facility		$397.94	$596.91	$1,241.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.94 / $511.23 / $596.91	Professional		$397.94	$511.23	$596.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $553.55 / $780.29 / $1,361.34	Facility		$553.55	$780.29	$1,361.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.45 / $494.16 / $667.12	Professional		$469.45	$494.16	$667.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.20 / $336.83 / $428.69	Facility		$306.20	$336.83	$428.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.07 / $434.78 / $672.02	Professional		$398.07	$434.78	$672.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.63 / $605.73 / $655.56	Professional		$377.63	$605.73	$655.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $397.93 / $940.13 / $2,182.88	Facility		$397.93	$940.13	$2,182.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $295.50 / $338.34 / $503.51	Professional		$295.50	$338.34	$503.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.08 / $418.92 / $543.29	Professional		$356.08	$418.92	$543.29