Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.70 / $1,580.08 / $2,538.87	Facility		$794.70	$1,580.08	$2,538.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.26 / $1,741.80 / $3,688.08	Professional		$779.26	$1,741.80	$3,688.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $953.79 / $1,718.20 / $3,250.33	Facility		$953.79	$1,718.20	$3,250.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.97 / $771.55 / $771.55	Professional		$732.97	$771.55	$771.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,056.33 / $1,056.33 / $1,056.33	Facility		$1,056.33	$1,056.33	$1,056.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $988.42	Professional		$771.56	$771.56	$988.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $1,165.40 / $2,538.87	Facility		$771.56	$1,165.40	$2,538.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $835.40 / $2,220.00	Professional		$771.56	$835.40	$2,220.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $887.29 / $908.54 / $915.23	Professional		$887.29	$908.54	$915.23
United Facility/Professional Professional Modifier Low / Median / High Price $771.56 / $771.56 / $818.63	Professional		$771.56	$771.56	$818.63