Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.91 / $783.91 / $783.91	Facility		$783.91	$783.91	$783.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.16 / $783.91 / $783.91	Professional		$667.16	$783.91	$783.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,077.61 / $4,139.39 / $7,539.20	Facility		$2,077.61	$4,139.39	$7,539.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,304.03 / $1,372.66 / $1,853.09	Professional		$1,304.03	$1,372.66	$1,853.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $892.23 / $892.23 / $1,030.32	Facility		$892.23	$892.23	$1,030.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,098.13 / $1,098.13 / $1,098.13	Professional		$1,098.13	$1,098.13	$1,098.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.71 / $857.71 / $857.71	Facility		$857.71	$857.71	$857.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.71 / $857.71 / $1,591.50	Professional		$857.71	$857.71	$1,591.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $783.91 / $991.95 / $991.95	Facility		$783.91	$991.95	$991.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $783.91 / $991.95 / $1,543.89	Professional		$783.91	$991.95	$1,543.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $832.93 / $1,015.77 / $1,168.13	Professional		$832.93	$1,015.77	$1,168.13
United Facility/Professional Professional Modifier Low / Median / High Price $536.20 / $683.28 / $982.44	Professional		$536.20	$683.28	$982.44