Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.79 / $783.79 / $783.79	Facility		$783.79	$783.79	$783.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.67 / $783.79 / $783.79	Professional		$708.67	$783.79	$783.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,077.29 / $4,138.76 / $7,538.04	Facility		$2,077.29	$4,138.76	$7,538.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,303.83 / $1,372.45 / $1,852.81	Professional		$1,303.83	$1,372.45	$1,852.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $892.09 / $892.09 / $1,008.27	Facility		$892.09	$892.09	$1,008.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,097.96 / $1,097.96 / $1,097.96	Professional		$1,097.96	$1,097.96	$1,097.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $969.19 / $969.19	Facility		$969.19	$969.19	$969.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $969.19 / $1,766.15	Professional		$707.51	$969.19	$1,766.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $783.79 / $991.79 / $991.79	Facility		$783.79	$991.79	$991.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $783.79 / $991.79 / $1,543.66	Professional		$783.79	$991.79	$1,543.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $30.00 / $30.00	Professional		$6.81	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.11 / $678.59 / $982.29	Professional		$536.11	$678.59	$982.29