Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.72 / $570.72 / $570.72	Facility		$570.72	$570.72	$570.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.51 / $570.72 / $570.72	Professional		$378.51	$570.72	$570.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.50 / $1,411.82 / $3,426.33	Facility		$129.50	$1,411.82	$3,426.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $558.17 / $1,004.72	Professional		$54.39	$558.17	$1,004.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $46.07 / $607.66	Facility		$40.36	$46.07	$607.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $56.70 / $850.56	Professional		$56.70	$56.70	$850.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $150.00 / $625.91	Professional		$54.43	$150.00	$625.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $481.15 / $481.15 / $570.72	Facility		$481.15	$481.15	$570.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $482.84 / $708.80	Professional		$70.88	$482.84	$708.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $66.39 / $603.54	Professional		$48.28	$66.39	$603.54
United Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $297.92 / $581.00	Professional		$225.00	$297.92	$581.00