Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.08 / $556.08 / $556.08	Facility		$556.08	$556.08	$556.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.28 / $556.08 / $791.01	Professional		$407.28	$556.08	$791.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,154.43 / $2,300.06 / $4,189.16	Facility		$1,154.43	$2,300.06	$4,189.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.58 / $762.72 / $1,029.67	Professional		$724.58	$762.72	$1,029.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $495.77 / $495.77 / $584.02	Facility		$495.77	$495.77	$584.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $610.17 / $610.17 / $610.17	Professional		$610.17	$610.17	$610.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $854.15 / $854.15	Facility		$854.15	$854.15	$854.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.15 / $854.15 / $1,297.86	Professional		$854.15	$854.15	$1,297.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $556.08 / $1,067.61 / $1,067.61	Facility		$556.08	$1,067.61	$1,067.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $556.08 / $791.01 / $1,067.61	Professional		$556.08	$791.01	$1,067.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $773.47 / $909.97 / $1,046.46	Professional		$773.47	$909.97	$1,046.46
United Facility/Professional Professional Modifier Low / Median / High Price $444.95 / $733.00 / $1,221.67	Professional		$444.95	$733.00	$1,221.67