Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.02 / $498.66 / $1,547.58	Facility		$496.02	$498.66	$1,547.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $498.66 / $582.70	Professional		$484.14	$498.66	$582.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.42 / $1,055.94 / $2,012.05	Facility		$562.42	$1,055.94	$2,012.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.61 / $493.27 / $493.27	Professional		$468.61	$493.27	$493.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $662.84 / $662.84 / $662.84	Facility		$662.84	$662.84	$662.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.54 / $484.14 / $484.14	Professional		$366.54	$484.14	$484.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $484.14 / $595.22 / $1,380.18	Facility		$484.14	$595.22	$1,380.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $496.02 / $580.96	Professional		$484.14	$496.02	$580.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $540.20 / $553.80 / $556.76	Professional		$540.20	$553.80	$556.76
United Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $513.66	Professional		$484.14	$484.14	$513.66