Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.28 / $687.28 / $687.28	Facility		$687.28	$687.28	$687.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $687.28 / $687.28	Professional		$394.63	$687.28	$687.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.02 / $1,471.98 / $3,572.32	Facility		$135.02	$1,471.98	$3,572.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $552.86 / $1,047.53	Professional		$56.71	$552.86	$1,047.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $59.41 / $665.94	Facility		$48.04	$59.41	$665.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $59.12 / $886.80	Professional		$59.12	$59.12	$886.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $866.25 / $1,082.81	Professional		$59.64	$866.25	$1,082.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $687.28 / $763.29 / $763.29	Facility		$687.28	$763.29	$763.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $444.96 / $739.00 / $886.80	Professional		$444.96	$739.00	$886.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $455.34 / $979.23	Professional		$78.33	$455.34	$979.23
United Facility/Professional Professional Modifier Low / Median / High Price $356.91 / $461.98 / $724.26	Professional		$356.91	$461.98	$724.26