Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.63 / $641.63 / $1,000.94	Facility		$641.63	$641.63	$1,000.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.09 / $641.63 / $650.00	Professional		$574.09	$641.63	$650.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.88 / $763.98 / $1,341.80	Facility		$547.88	$763.98	$1,341.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.22 / $506.55 / $542.01	Professional		$481.22	$506.55	$542.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.40 / $810.48 / $1,620.96	Facility		$675.40	$810.48	$1,620.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $675.40 / $844.25 / $911.79	Professional		$675.40	$844.25	$911.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.64 / $342.33 / $939.66	Professional		$229.64	$342.33	$939.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $601.72 / $641.63 / $1,179.00	Facility		$601.72	$641.63	$1,179.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $641.63 / $810.48 / $918.54	Professional		$641.63	$810.48	$918.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $559.23 / $615.15 / $754.96	Professional		$559.23	$615.15	$754.96
United Facility/Professional Professional Modifier Low / Median / High Price $271.42 / $387.74 / $646.24	Professional		$271.42	$387.74	$646.24