Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.84 / $709.84 / $709.84	Facility		$709.84	$709.84	$709.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $709.84 / $709.84	Professional		$394.63	$709.84	$709.84
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 / $737.15 / $1,047.53	Professional		$56.71	$737.15	$1,047.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $54.90 / $665.24	Facility		$48.04	$54.90	$665.24
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 $545.00 / $545.00 / $545.00	Facility		$545.00	$545.00	$545.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $545.00 / $1,072.45	Professional		$66.06	$545.00	$1,072.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $385.26 / $385.26 / $709.84	Facility		$385.26	$385.26	$709.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $327.47 / $591.20 / $886.80	Professional		$327.47	$591.20	$886.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $117.96 / $1,072.45	Professional		$85.79	$117.96	$1,072.45
United Facility/Professional Professional Modifier Low / Median / High Price $386.78 / $500.61 / $894.80	Professional		$386.78	$500.61	$894.80