Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.54 / $721.55 / $3,637.76	Facility		$721.54	$721.55	$3,637.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $721.55 / $721.55	Professional		$455.72	$721.55	$721.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.61 / $1,135.19 / $2,011.92	Facility		$759.61	$1,135.19	$2,011.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.55 / $759.53 / $1,025.36	Professional		$721.55	$759.53	$1,025.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $789.91 / $789.91 / $789.91	Facility		$789.91	$789.91	$789.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.33 / $930.23 / $1,708.94	Professional		$444.33	$930.23	$1,708.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $610.01 / $721.55 / $3,637.76	Facility		$610.01	$721.55	$3,637.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $610.01 / $660.07 / $911.43	Professional		$610.01	$660.07	$911.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $628.89 / $691.77 / $849.00	Professional		$628.89	$691.77	$849.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $81.54 / $455.72	Professional		$40.27	$81.54	$455.72