Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.52 / $829.52 / $829.52	Facility		$829.52	$829.52	$829.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.42 / $829.51 / $829.52	Professional		$535.42	$829.51	$829.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.63 / $789.63 / $789.63	Facility		$789.63	$789.63	$789.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $1,000.20 / $1,421.33	Professional		$80.98	$1,000.20	$1,421.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $104.47 / $1,044.65	Facility		$65.18	$104.47	$1,044.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $80.22 / $1,203.24	Professional		$80.22	$80.22	$1,203.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $546.85 / $546.85	Facility		$546.85	$546.85	$546.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $315.56 / $1,471.88	Professional		$81.44	$315.56	$1,471.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $522.66 / $829.52	Facility		$52.27	$522.66	$829.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $522.66 / $1,002.70	Professional		$52.27	$522.66	$1,002.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $34.71 / $315.56	Professional		$25.87	$34.71	$315.56
United Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $66.04 / $585.52	Professional		$51.01	$66.04	$585.52