Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.70 / $2,856.50 / $4,732.60	Facility		$570.70	$2,856.50	$4,732.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.37 / $570.70 / $570.70	Professional		$368.37	$570.70	$570.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $999.31 / $999.31 / $999.31	Facility		$999.31	$999.31	$999.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $949.34 / $999.31 / $1,349.07	Professional		$949.34	$999.31	$1,349.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $487.17 / $488.31 / $649.54	Facility		$487.17	$488.31	$649.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $799.45 / $799.45 / $799.45	Professional		$799.45	$799.45	$799.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.06 / $666.06 / $666.06	Facility		$666.06	$666.06	$666.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $666.06 / $1,158.38	Professional		$566.15	$666.06	$1,158.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $570.70 / $2,771.27 / $4,732.60	Facility		$570.70	$2,771.27	$4,732.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $570.70 / $722.16 / $1,199.17	Professional		$570.70	$722.16	$1,199.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.36 / $477.74 / $667.72	Professional		$332.36	$477.74	$667.72