Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.04 / $603.04 / $603.04	Facility		$603.04	$603.04	$603.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.48 / $603.04 / $603.04	Professional		$387.48	$603.04	$603.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.18 / $1,460.45 / $3,486.90	Facility		$145.18	$1,460.45	$3,486.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.68 / $723.79 / $1,028.54	Professional		$55.68	$723.79	$1,028.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $49.76 / $639.09	Facility		$47.16	$49.76	$639.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.05 / $58.05 / $870.72	Professional		$58.05	$58.05	$870.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $370.80	Facility		$370.80	$370.80	$370.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $370.80 / $742.24	Professional		$63.74	$370.80	$742.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $545.96 / $545.96 / $603.04	Facility		$545.96	$545.96	$603.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $545.96 / $742.24	Professional		$72.56	$545.96	$742.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $81.64 / $742.24	Professional		$59.37	$81.64	$742.24
United Facility/Professional Professional Modifier Low / Median / High Price $263.82 / $330.55 / $596.98	Professional		$263.82	$330.55	$596.98