Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.12 / $567.12 / $567.12	Facility		$567.12	$567.12	$567.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.22 / $567.12 / $567.12	Professional		$374.22	$567.12	$567.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.51 / $1,410.53 / $3,367.72	Facility		$141.51	$1,410.53	$3,367.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $699.05 / $993.38	Professional		$56.60	$699.05	$993.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $45.55 / $603.19	Facility		$39.04	$45.55	$603.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $56.06 / $840.96	Professional		$56.06	$56.06	$840.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $429.00	Facility		$429.00	$429.00	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $429.00 / $653.82	Professional		$54.03	$429.00	$653.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $485.41 / $485.41 / $567.12	Facility		$485.41	$485.41	$567.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $485.41 / $700.80	Professional		$70.08	$485.41	$700.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $51.57 / $468.90	Professional		$37.51	$51.57	$468.90
United Facility/Professional Professional Modifier Low / Median / High Price $226.83 / $293.89 / $453.65	Professional		$226.83	$293.89	$453.65