Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.67 / $642.67 / $1,002.58	Facility		$642.67	$642.67	$1,002.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.03 / $642.67 / $700.00	Professional		$575.03	$642.67	$700.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.78 / $765.23 / $1,344.00	Facility		$548.78	$765.23	$1,344.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.01 / $507.38 / $542.90	Professional		$482.01	$507.38	$542.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $703.56 / $703.56 / $703.56	Facility		$703.56	$703.56	$703.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.39 / $360.18 / $941.01	Professional		$240.39	$360.18	$941.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $602.71 / $642.67 / $1,180.92	Facility		$602.71	$642.67	$1,180.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $642.67 / $811.80 / $972.00	Professional		$642.67	$811.80	$972.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $560.14 / $616.15 / $756.18	Professional		$560.14	$616.15	$756.18
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $468.77 / $781.29	Professional		$284.13	$468.77	$781.29