Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.88 / $1,004.88 / $1,004.88	Facility		$1,004.88	$1,004.88	$1,004.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $889.50 / $1,004.88	Professional		$516.40	$889.50	$1,004.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,276.54 / $2,718.14 / $5,251.68	Facility		$1,276.54	$2,718.14	$5,251.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $918.65 / $1,305.45	Professional		$96.70	$918.65	$1,305.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.86 / $63.42 / $95.13	Facility		$62.86	$63.42	$95.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $77.36 / $77.36	Professional		$77.36	$77.36	$77.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $750.60 / $4,321.62	Professional		$79.45	$750.60	$4,321.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $472.10 / $472.10 / $3,481.20	Facility		$472.10	$472.10	$3,481.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $775.08 / $4,351.50	Professional		$101.53	$775.08	$4,351.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.95 / $147.51 / $206.51	Professional		$120.95	$147.51	$206.51
United Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $105.47 / $779.26	Professional		$46.30	$105.47	$779.26