Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $570.00 / $889.20	Facility		$570.00	$570.00	$889.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.93 / $570.00 / $900.00	Professional		$453.93	$570.00	$900.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.33 / $678.69 / $1,192.01	Facility		$471.33	$678.69	$1,192.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.50 / $450.00 / $481.50	Professional		$427.50	$450.00	$481.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $720.00 / $1,440.00	Facility		$600.00	$720.00	$1,440.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $750.00 / $810.00	Professional		$600.00	$750.00	$810.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.58 / $361.05 / $834.81	Professional		$274.58	$361.05	$834.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $564.66 / $570.00 / $1,047.38	Facility		$564.66	$570.00	$1,047.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $564.66 / $762.29	Professional		$510.00	$564.66	$762.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $496.80 / $546.48 / $670.68	Professional		$496.80	$546.48	$670.68
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $720.84	Facility		$600.00	$600.00	$720.84
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.42 / $600.70	Professional		$252.00	$360.42	$600.70