Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.36 / $772.36 / $4,555.26	Facility		$772.36	$772.36	$4,555.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.65 / $772.36 / $772.36	Professional		$651.65	$772.36	$772.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $4,078.42 / $7,428.14	Facility		$2,047.00	$4,078.42	$7,428.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,284.82 / $1,352.44 / $1,825.79	Professional		$1,284.82	$1,352.44	$1,825.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $718.92 / $865.83 / $879.09	Facility		$718.92	$865.83	$879.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,081.95 / $1,081.95 / $1,081.95	Professional		$1,081.95	$1,081.95	$1,081.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $769.23 / $769.23 / $769.23	Facility		$769.23	$769.23	$769.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.23 / $769.23 / $1,567.88	Professional		$769.23	$769.23	$1,567.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $772.36 / $977.33 / $4,555.26	Facility		$772.36	$977.33	$4,555.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $688.17 / $977.33 / $1,555.30	Professional		$688.17	$977.33	$1,555.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $820.66 / $1,000.81 / $1,150.93	Professional		$820.66	$1,000.81	$1,150.93
United Facility/Professional Professional Modifier Low / Median / High Price $407.37 / $623.83 / $903.65	Professional		$407.37	$623.83	$903.65