Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.56 / $381.56 / $1,959.89	Facility		$381.56	$381.56	$1,959.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.73 / $381.56 / $381.56	Professional		$324.73	$381.56	$381.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $668.13 / $668.13 / $668.13	Facility		$668.13	$668.13	$668.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.72 / $668.13 / $901.98	Professional		$634.72	$668.13	$901.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $434.28 / $434.28 / $434.28	Facility		$434.28	$434.28	$434.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $534.50 / $534.50 / $534.50	Professional		$534.50	$534.50	$534.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $375.74	Facility		$375.74	$375.74	$375.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $555.54 / $968.44	Professional		$319.38	$555.54	$968.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $381.56 / $482.81 / $1,959.89	Facility		$381.56	$482.81	$1,959.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $381.56 / $482.81 / $751.48	Professional		$381.56	$482.81	$751.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $319.39 / $475.78	Professional		$250.00	$319.39	$475.78