Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.16 / $1,090.16 / $1,090.16	Facility		$1,090.16	$1,090.16	$1,090.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.49 / $940.95 / $1,090.16	Professional		$556.49	$940.95	$1,090.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,473.27 / $2,929.24 / $5,659.54	Facility		$1,473.27	$2,929.24	$5,659.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $833.68 / $1,406.84	Professional		$104.21	$833.68	$1,406.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $68.06	Facility		$67.73	$67.73	$68.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $83.37 / $83.37	Professional		$83.37	$83.37	$83.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $845.38 / $845.38	Facility		$845.38	$845.38	$845.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $1,518.75	Professional		$718.57	$718.57	$1,518.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $511.23 / $1,090.16	Facility		$51.12	$511.23	$1,090.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $511.23 / $3,751.56	Professional		$51.12	$511.23	$3,751.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.30 / $157.88 / $213.13	Professional		$126.30	$157.88	$213.13
United Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $116.02 / $386.93	Professional		$49.97	$116.02	$386.93