Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.44 / $528.44 / $528.44	Facility		$528.44	$528.44	$528.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.96 / $528.44 / $528.44	Professional		$438.96	$528.44	$528.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,400.54 / $2,790.43 / $5,082.28	Facility		$1,400.54	$2,790.43	$5,082.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $879.06 / $925.33 / $1,249.20	Professional		$879.06	$925.33	$1,249.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $587.04 / $601.46 / $604.70	Facility		$587.04	$601.46	$604.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $740.26 / $740.26 / $740.26	Professional		$740.26	$740.26	$740.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.88 / $576.88 / $576.88	Facility		$576.88	$576.88	$576.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.89 / $576.88 / $1,072.88	Professional		$467.89	$576.88	$1,072.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $528.44 / $668.69 / $668.69	Facility		$528.44	$668.69	$668.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $514.02 / $668.69 / $971.59	Professional		$514.02	$668.69	$971.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $561.48 / $684.74 / $787.45	Professional		$561.48	$684.74	$787.45
United Facility/Professional Facility Modifier Low / Median / High Price $936.84 / $1,102.16 / $1,102.16	Facility		$936.84	$1,102.16	$1,102.16
United Facility/Professional Professional Modifier Low / Median / High Price $322.89 / $434.54 / $662.29	Professional		$322.89	$434.54	$662.29