Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.93 / $856.93 / $856.93	Facility		$856.93	$856.93	$856.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.62 / $856.93 / $856.93	Professional		$671.62	$856.93	$856.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,271.12 / $4,524.93 / $8,241.40	Facility		$2,271.12	$4,524.93	$8,241.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,425.48 / $1,500.51 / $2,025.69	Professional		$1,425.48	$1,500.51	$2,025.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $828.79 / $829.85 / $975.33	Facility		$828.79	$829.85	$975.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,200.41 / $1,200.41 / $1,200.41	Professional		$1,200.41	$1,200.41	$1,200.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,057.34	Facility		$1,057.34	$1,057.34	$1,057.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,739.63	Professional		$1,057.34	$1,057.34	$1,739.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $856.93 / $1,084.33 / $1,084.33	Facility		$856.93	$1,084.33	$1,084.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $805.94 / $1,084.33 / $1,575.53	Professional		$805.94	$1,084.33	$1,575.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $910.51 / $1,110.38 / $1,276.93	Professional		$910.51	$1,110.38	$1,276.93
United Facility/Professional Professional Modifier Low / Median / High Price $498.07 / $704.64 / $1,060.19	Professional		$498.07	$704.64	$1,060.19