Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.03 / $858.03 / $858.03	Facility		$858.03	$858.03	$858.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.21 / $858.03 / $858.03	Professional		$621.21	$858.03	$858.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,274.04 / $4,530.76 / $8,252.00	Facility		$2,274.04	$4,530.76	$8,252.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,427.32 / $1,502.44 / $2,028.29	Professional		$1,427.32	$1,502.44	$2,028.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $785.78 / $817.54 / $976.59	Facility		$785.78	$817.54	$976.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,201.95 / $1,201.95 / $1,201.95	Professional		$1,201.95	$1,201.95	$1,201.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $755.39 / $755.39	Facility		$755.39	$755.39	$755.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.38 / $755.39 / $1,741.88	Professional		$755.38	$755.39	$1,741.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $858.03 / $1,085.73 / $1,085.73	Facility		$858.03	$1,085.73	$1,085.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $858.03 / $1,085.73 / $1,577.56	Professional		$858.03	$1,085.73	$1,577.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $911.68 / $1,111.81 / $1,278.58	Professional		$911.68	$1,111.81	$1,278.58
United Facility/Professional Professional Modifier Low / Median / High Price $499.70 / $693.02 / $1,005.17	Professional		$499.70	$693.02	$1,005.17