Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.76 / $609.76 / $1,067.08	Facility		$609.76	$609.76	$1,067.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.99 / $609.76 / $622.59	Professional		$551.99	$609.76	$622.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.66 / $726.03 / $1,275.15	Facility		$520.66	$726.03	$1,275.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.32 / $481.39 / $515.09	Professional		$457.32	$481.39	$515.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $641.85 / $953.32 / $1,540.44	Facility		$641.85	$953.32	$1,540.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $802.31 / $866.50	Professional		$641.85	$802.31	$866.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.64 / $359.45 / $892.86	Professional		$303.64	$359.45	$892.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $609.76 / $616.17 / $4,055.31	Facility		$609.76	$616.17	$4,055.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $609.76 / $616.17 / $770.22	Professional		$609.76	$616.17	$770.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $531.46 / $584.60 / $956.62	Professional		$531.46	$584.60	$956.62
United Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $385.11 / $641.85	Professional		$269.58	$385.11	$641.85