Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.29 / $765.29 / $765.29	Facility		$765.29	$765.29	$765.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.52 / $765.29 / $868.42	Professional		$701.52	$765.29	$868.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,028.26 / $4,041.08 / $7,360.15	Facility		$2,028.26	$4,041.08	$7,360.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,273.06 / $1,340.06 / $1,809.08	Professional		$1,273.06	$1,340.06	$1,809.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $871.04 / $910.57 / $1,087.15	Facility		$871.04	$910.57	$1,087.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,072.05 / $1,072.05 / $1,072.05	Professional		$1,072.05	$1,072.05	$1,072.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.35 / $837.35 / $837.35	Facility		$837.35	$837.35	$837.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.35 / $837.35 / $1,553.63	Professional		$837.35	$837.35	$1,553.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $765.29 / $968.39 / $968.39	Facility		$765.29	$968.39	$968.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $765.29 / $968.39 / $1,508.48	Professional		$765.29	$968.39	$1,508.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $813.14 / $991.64 / $1,140.38	Professional		$813.14	$991.64	$1,140.38
United Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $662.58 / $874.74	Facility		$11.04	$662.58	$874.74
United Facility/Professional Professional Modifier Low / Median / High Price $523.46 / $668.54 / $1,023.05	Professional		$523.46	$668.54	$1,023.05