Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.66 / $555.66 / $972.41	Facility		$555.66	$555.66	$972.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.62 / $555.66 / $845.65	Professional		$479.62	$555.66	$845.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,019.43 / $1,461.66 / $2,590.52	Facility		$1,019.43	$1,461.66	$2,590.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $929.06 / $977.96 / $1,046.42	Professional		$929.06	$977.96	$1,046.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,356.11 / $1,356.11 / $1,356.11	Facility		$1,356.11	$1,356.11	$1,356.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $649.89 / $1,872.96	Professional		$380.19	$649.89	$1,872.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $555.66 / $555.66 / $1,021.03	Facility		$555.66	$555.66	$1,021.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $555.66 / $611.41 / $1,564.74	Professional		$555.66	$611.41	$1,564.74
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 $245.66 / $438.95 / $722.47	Professional		$245.66	$438.95	$722.47