Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.98 / $824.16 / $2,571.38	Facility		$819.98	$824.16	$2,571.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $819.98 / $850.00	Professional		$796.09	$819.98	$850.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.84 / $658.84 / $658.84	Facility		$658.84	$658.84	$658.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.90 / $658.84 / $889.43	Professional		$625.90	$658.84	$889.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $517.46 / $517.46 / $517.46	Facility		$517.46	$517.46	$517.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $640.12 / $640.12 / $996.28	Professional		$640.12	$640.12	$996.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $796.09 / $806.51	Facility		$796.09	$796.09	$806.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.09 / $796.09 / $806.51	Professional		$636.09	$796.09	$806.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $948.84 / $2,293.23	Facility		$796.09	$948.84	$2,293.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $819.98 / $955.30	Professional		$796.09	$819.98	$955.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $646.34 / $760.40	Professional		$30.00	$646.34	$760.40
United Facility/Professional Professional Modifier Low / Median / High Price $610.91 / $796.09 / $844.65	Professional		$610.91	$796.09	$844.65