Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.36 / $731.36 / $731.36	Facility		$731.36	$731.36	$731.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.03 / $731.36 / $738.40	Professional		$514.03	$731.36	$738.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,706.65 / $3,706.65 / $4,853.93	Facility		$3,706.65	$3,706.65	$4,853.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.86 / $758.05 / $1,364.49	Professional		$73.86	$758.05	$1,364.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.57 / $98.49 / $735.96	Facility		$62.57	$98.49	$735.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $118.83 / $1,121.52	Professional		$77.01	$118.83	$1,121.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $458.33 / $458.33	Facility		$458.33	$458.33	$458.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $458.33 / $768.74	Professional		$82.44	$458.33	$768.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $709.78 / $962.60	Professional		$96.26	$709.78	$962.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $260.44 / $476.08 / $560.10	Professional		$260.44	$476.08	$560.10
United Facility/Professional Professional Modifier Low / Median / High Price $392.30 / $698.98 / $1,006.68	Professional		$392.30	$698.98	$1,006.68