Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Facility		$720.00	$720.00	$720.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.09 / $720.00 / $720.00	Professional		$598.09	$720.00	$720.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,908.23 / $3,801.92 / $6,924.54	Facility		$1,908.23	$3,801.92	$6,924.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,197.71 / $1,260.75 / $1,702.01	Professional		$1,197.71	$1,260.75	$1,702.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $799.88 / $819.49 / $823.95	Facility		$799.88	$819.49	$823.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,008.60 / $1,008.60 / $1,008.60	Professional		$1,008.60	$1,008.60	$1,008.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $741.89	Facility		$741.89	$741.89	$741.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.46 / $741.89 / $1,461.75	Professional		$637.46	$741.89	$1,461.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $911.09 / $911.09	Facility		$720.00	$911.09	$911.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $704.54 / $911.09 / $1,323.78	Professional		$704.54	$911.09	$1,323.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $793.01 / $932.96 / $1,072.90	Professional		$793.01	$932.96	$1,072.90
United Facility/Professional Professional Modifier Low / Median / High Price $439.96 / $592.05 / $891.15	Professional		$439.96	$592.05	$891.15