Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.98 / $416.98 / $650.49	Facility		$416.98	$416.98	$650.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.92 / $416.98 / $416.98	Professional		$359.92	$416.98	$416.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.32 / $1,456.77 / $2,590.52	Facility		$1,024.32	$1,456.77	$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 $285.30 / $537.58 / $1,872.96	Professional		$285.30	$537.58	$1,872.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $416.98 / $416.98 / $766.20	Facility		$416.98	$416.98	$766.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $416.98 / $566.46 / $1,564.74	Professional		$416.98	$566.46	$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 $184.35 / $330.55 / $586.78	Professional		$184.35	$330.55	$586.78