Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.67 / $568.01 / $2,453.48	Facility		$532.67	$568.01	$2,453.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $448.43 / $568.01	Professional		$448.43	$448.43	$568.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $623.26 / $893.64 / $1,583.80	Facility		$623.26	$893.64	$1,583.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.01 / $597.91 / $639.76	Professional		$568.01	$597.91	$639.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $621.83 / $621.83 / $621.83	Facility		$621.83	$621.83	$621.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.78 / $732.29 / $1,345.30	Professional		$349.78	$732.29	$1,345.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $532.67 / $568.01 / $2,453.48	Facility		$532.67	$568.01	$2,453.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $568.01 / $737.61	Professional		$511.20	$568.01	$737.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $495.07 / $544.57 / $668.34	Professional		$495.07	$544.57	$668.34
United Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $111.99 / $361.26	Professional		$40.27	$111.99	$361.26