Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.36 / $706.36 / $706.36	Facility		$706.36	$706.36	$706.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.90 / $664.33 / $706.36	Professional		$596.90	$664.33	$706.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,872.06 / $3,729.88 / $6,793.33	Facility		$1,872.06	$3,729.88	$6,793.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,175.02 / $1,236.85 / $1,669.76	Professional		$1,175.02	$1,236.85	$1,669.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $784.71 / $803.96 / $808.34	Facility		$784.71	$803.96	$808.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $989.49 / $989.49 / $989.49	Professional		$989.49	$989.49	$989.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $756.07	Facility		$756.07	$756.07	$756.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.67 / $756.07 / $1,434.00	Professional		$625.67	$756.07	$1,434.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $706.36 / $893.82 / $893.82	Facility		$706.36	$893.82	$893.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $663.79 / $893.82 / $1,298.70	Professional		$663.79	$893.82	$1,298.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $750.52 / $915.28 / $1,052.57	Professional		$750.52	$915.28	$1,052.57
United Facility/Professional Professional Modifier Low / Median / High Price $431.73 / $580.84 / $874.49	Professional		$431.73	$580.84	$874.49