Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.88 / $702.88 / $702.88	Facility		$702.88	$702.88	$702.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.44 / $702.88 / $702.88	Professional		$466.44	$702.88	$702.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.71 / $1,838.48 / $4,469.62	Facility		$234.71	$1,838.48	$4,469.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $130.84 / $1,114.52	Professional		$92.07	$130.84	$1,114.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $73.84 / $1,107.59	Professional		$73.84	$73.84	$1,107.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $68.51 / $1,335.94	Professional		$65.25	$68.51	$1,335.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $46.53 / $393.14 / $702.88	Facility		$46.53	$393.14	$702.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $393.14 / $923.00	Professional		$46.53	$393.14	$923.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.57 / $376.06 / $614.21	Professional		$311.57	$376.06	$614.21