Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.66 / $2,571.52 / $3,144.96	Facility		$915.66	$2,571.52	$3,144.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.75 / $915.66 / $915.66	Professional		$517.75	$915.66	$915.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,713.04 / $3,413.03 / $6,216.24	Facility		$1,713.04	$3,413.03	$6,216.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,075.20 / $1,131.79 / $1,527.92	Professional		$1,075.20	$1,131.79	$1,527.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $700.30 / $700.30 / $735.66	Facility		$700.30	$700.30	$735.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $905.43 / $905.43 / $905.43	Professional		$905.43	$905.43	$905.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.44 / $932.67 / $1,456.46	Professional		$468.44	$932.67	$1,456.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $802.92 / $2,571.52 / $3,144.96	Facility		$802.92	$2,571.52	$3,144.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $679.76 / $905.43 / $1,245.28	Professional		$679.76	$905.43	$1,245.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $670.01 / $837.52 / $963.14	Professional		$670.01	$837.52	$963.14
United Facility/Professional Professional Modifier Low / Median / High Price $420.85 / $537.49 / $810.05	Professional		$420.85	$537.49	$810.05