Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.24 / $553.24 / $553.24	Facility		$553.24	$553.24	$553.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.37 / $553.24 / $553.24	Professional		$436.37	$553.24	$553.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,466.25 / $2,921.33 / $5,320.71	Facility		$1,466.25	$2,921.33	$5,320.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.30 / $968.74 / $1,307.80	Professional		$920.30	$968.74	$1,307.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $472.26 / $552.28 / $629.67	Facility		$472.26	$552.28	$629.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $774.99 / $774.99 / $774.99	Professional		$774.99	$774.99	$774.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $454.00	Facility		$454.00	$454.00	$454.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.00 / $454.00 / $1,123.13	Professional		$454.00	$454.00	$1,123.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $553.24 / $700.06 / $700.06	Facility		$553.24	$700.06	$700.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $520.32 / $700.06 / $1,017.17	Professional		$520.32	$700.06	$1,017.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $587.83 / $716.87 / $824.40	Professional		$587.83	$716.87	$824.40
United Facility/Professional Professional Modifier Low / Median / High Price $283.81 / $446.84 / $644.39	Professional		$283.81	$446.84	$644.39