Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.13 / $859.13 / $859.13	Facility		$859.13	$859.13	$859.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.65 / $859.13 / $859.13	Professional		$713.65	$859.13	$859.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,276.98 / $4,536.60 / $8,262.66	Facility		$2,276.98	$4,536.60	$8,262.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,429.16 / $1,504.38 / $2,030.91	Professional		$1,429.16	$1,504.38	$2,030.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.41 / $977.85 / $983.16	Facility		$954.41	$977.85	$983.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,203.50 / $1,203.50 / $1,203.50	Professional		$1,203.50	$1,203.50	$1,203.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,038.85	Facility		$1,038.85	$1,038.85	$1,038.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,744.13	Professional		$1,038.85	$1,038.85	$1,744.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $859.13 / $1,087.14 / $1,087.14	Facility		$859.13	$1,087.14	$1,087.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $840.67 / $1,087.14 / $1,579.59	Professional		$840.67	$1,087.14	$1,579.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $912.85 / $1,113.24 / $1,280.22	Professional		$912.85	$1,113.24	$1,280.22
United Facility/Professional Professional Modifier Low / Median / High Price $524.96 / $706.46 / $1,063.34	Professional		$524.96	$706.46	$1,063.34