Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.96 / $350.52 / $1,091.88	Facility		$349.96	$350.52	$1,091.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $350.52 / $411.11	Professional		$340.31	$350.52	$411.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,714.38 / $33,494.37 / $47,124.12	Facility		$28,714.38	$33,494.37	$47,124.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.87 / $216.71 / $346.73	Professional		$205.87	$216.71	$346.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $406.30 / $406.30 / $406.30	Professional		$406.30	$406.30	$406.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.91 / $328.91 / $340.31	Facility		$328.91	$328.91	$340.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $433.08	Professional		$340.31	$340.31	$433.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $386.95 / $973.76	Facility		$340.31	$386.95	$973.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $349.96 / $408.37	Professional		$340.31	$349.96	$408.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $289.02 / $340.04	Professional		$30.00	$289.02	$340.04
United Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $340.31 / $347.15	Professional		$136.12	$340.31	$347.15