Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.24 / $545.24 / $1,535.27	Facility		$545.24	$545.24	$1,535.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.19 / $545.24 / $618.71	Professional		$466.19	$545.24	$618.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.08 / $2,879.14 / $5,243.87	Facility		$1,445.08	$2,879.14	$5,243.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $907.01 / $954.75 / $1,288.91	Professional		$907.01	$954.75	$1,288.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $620.59 / $620.59 / $620.59	Facility		$620.59	$620.59	$620.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $763.80 / $763.80 / $763.80	Professional		$763.80	$763.80	$763.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $596.58	Facility		$596.58	$596.58	$596.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $793.85 / $1,383.75	Professional		$435.50	$793.85	$1,383.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $689.94 / $1,224.29 / $1,535.27	Facility		$689.94	$1,224.29	$1,535.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $545.24 / $689.94 / $1,097.96	Professional		$545.24	$689.94	$1,097.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $565.75 / $689.95 / $793.44	Professional		$565.75	$689.95	$793.44
United Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $629.41 / $717.65	Facility		$7.87	$629.41	$717.65
United Facility/Professional Professional Modifier Low / Median / High Price $396.93 / $476.31 / $733.98	Professional		$396.93	$476.31	$733.98