Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.74 / $769.74 / $769.74	Facility		$769.74	$769.74	$769.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.65 / $769.74 / $769.74	Professional		$614.65	$769.74	$769.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,040.06 / $4,064.58 / $7,402.93	Facility		$2,040.06	$4,064.58	$7,402.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,280.46 / $1,347.85 / $1,819.60	Professional		$1,280.46	$1,347.85	$1,819.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $742.75 / $773.32 / $876.10	Facility		$742.75	$773.32	$876.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,078.28 / $1,078.28 / $1,078.28	Professional		$1,078.28	$1,078.28	$1,078.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $714.02	Facility		$714.02	$714.02	$714.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $714.01 / $714.02 / $1,562.63	Professional		$714.01	$714.02	$1,562.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $769.74 / $974.02 / $974.02	Facility		$769.74	$974.02	$974.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $723.94 / $974.02 / $1,415.24	Professional		$723.94	$974.02	$1,415.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $817.87 / $997.41 / $1,147.02	Professional		$817.87	$997.41	$1,147.02
United Facility/Professional Professional Modifier Low / Median / High Price $446.36 / $626.69 / $952.60	Professional		$446.36	$626.69	$952.60