Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $528.77 / $834.90	Facility		$58.29	$528.77	$834.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $528.77 / $567.98	Professional		$238.56	$528.77	$567.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $865.28 / $1,206.56 / $2,119.12	Facility		$865.28	$1,206.56	$2,119.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $800.00 / $856.00	Professional		$760.00	$800.00	$856.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $556.60 / $667.92 / $1,335.84	Facility		$556.60	$667.92	$1,335.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $695.75 / $751.41	Professional		$556.60	$695.75	$751.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $282.08 / $1,252.34	Professional		$222.64	$282.08	$1,252.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $528.77 / $971.62	Facility		$129.38	$528.77	$971.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $528.77 / $764.37	Professional		$129.38	$528.77	$764.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $333.96 / $556.60	Professional		$233.77	$333.96	$556.60