Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.84 / $731.84 / $731.84	Facility		$731.84	$731.84	$731.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $610.04 / $731.84	Professional		$394.63	$610.04	$731.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.24 / $1,487.42 / $3,551.29	Facility		$149.24	$1,487.42	$3,551.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $581.96 / $1,047.53	Professional		$56.71	$581.96	$1,047.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $78.27 / $782.73	Facility		$48.04	$78.27	$782.73
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 Facility Modifier Low / Median / High Price $568.02 / $568.02 / $695.55	Facility		$568.02	$568.02	$695.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $617.82 / $1,108.29	Professional		$482.82	$617.82	$1,108.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $731.84 / $889.63 / $889.63	Facility		$731.84	$889.63	$889.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $517.29 / $731.84 / $889.63	Professional		$517.29	$731.84	$889.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $122.27 / $1,111.55	Professional		$88.92	$122.27	$1,111.55
United Facility/Professional Professional Modifier Low / Median / High Price $402.72 / $538.63 / $844.01	Professional		$402.72	$538.63	$844.01