Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.67 / $424.67 / $424.67	Facility		$424.67	$424.67	$424.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.05 / $424.67 / $424.67	Professional		$306.05	$424.67	$424.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.51 / $2,242.46 / $4,084.26	Facility		$1,125.51	$2,242.46	$4,084.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $706.44 / $743.62 / $1,003.89	Professional		$706.44	$743.62	$1,003.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $378.16 / $378.16 / $483.35	Facility		$378.16	$378.16	$483.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $594.90 / $594.90 / $594.90	Professional		$594.90	$594.90	$594.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $378.92 / $613.97	Facility		$378.92	$378.92	$613.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.92 / $378.92 / $862.13	Professional		$378.92	$378.92	$862.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $424.67 / $537.36 / $537.36	Facility		$424.67	$537.36	$537.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $378.66 / $537.36 / $780.80	Professional		$378.66	$537.36	$780.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $451.22 / $550.28 / $632.82	Professional		$451.22	$550.28	$632.82
United Facility/Professional Professional Modifier Low / Median / High Price $227.26 / $343.00 / $496.86	Professional		$227.26	$343.00	$496.86