Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.01 / $468.64 / $468.64	Facility		$93.01	$468.64	$468.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.26 / $468.64 / $468.64	Professional		$346.26	$468.64	$468.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $820.61 / $820.61 / $820.61	Facility		$820.61	$820.61	$820.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.58 / $820.61 / $1,107.82	Professional		$779.58	$820.61	$1,107.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $458.98 / $499.73 / $533.40	Facility		$458.98	$499.73	$533.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.49 / $656.49 / $656.49	Professional		$656.49	$656.49	$656.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.54 / $502.54 / $502.54	Facility		$502.54	$502.54	$502.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $502.54 / $951.38	Professional		$427.16	$502.54	$951.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $93.01 / $593.02	Facility		$69.23	$93.01	$593.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $468.64 / $593.02 / $922.98	Professional		$468.64	$593.02	$922.98
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 $292.07 / $392.31 / $584.13	Professional		$292.07	$392.31	$584.13