Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.96 / $803.96 / $1,254.18	Facility		$803.96	$803.96	$1,254.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.79 / $803.96 / $1,287.22	Professional		$727.79	$803.96	$1,287.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $686.49 / $957.25 / $1,681.26	Facility		$686.49	$957.25	$1,681.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.97 / $634.70 / $679.13	Professional		$602.97	$634.70	$679.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $1,256.93 / $2,240.57	Facility		$846.27	$1,256.93	$2,240.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,057.83 / $1,142.46	Professional		$846.27	$1,057.83	$1,142.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.51 / $428.78 / $1,933.54	Professional		$338.51	$428.78	$1,933.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $796.17 / $803.96 / $1,477.28	Facility		$796.17	$803.96	$1,477.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $796.17 / $803.96 / $1,142.46	Professional		$796.17	$803.96	$1,142.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $700.71 / $770.78 / $945.95	Professional		$700.71	$770.78	$945.95
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $507.76 / $846.27	Professional		$355.43	$507.76	$846.27