Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.39 / $600.39 / $600.39	Facility		$600.39	$600.39	$600.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.97 / $600.39 / $600.39	Professional		$547.97	$600.39	$600.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,591.23 / $3,170.33 / $5,774.22	Facility		$1,591.23	$3,170.33	$5,774.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $998.74 / $1,051.31 / $1,419.27	Professional		$998.74	$1,051.31	$1,419.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $677.09 / $683.35 / $721.41	Facility		$677.09	$683.35	$721.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $841.05 / $841.05 / $841.05	Professional		$841.05	$841.05	$841.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $740.83	Facility		$740.83	$740.83	$740.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.83 / $740.83 / $1,218.75	Professional		$740.83	$740.83	$1,218.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $600.39 / $759.72 / $759.72	Facility		$600.39	$759.72	$759.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $600.39 / $759.72 / $1,182.45	Professional		$600.39	$759.72	$1,182.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $637.93 / $777.97 / $894.66	Professional		$637.93	$777.97	$894.66
United Facility/Professional Professional Modifier Low / Median / High Price $406.90 / $502.59 / $752.44	Professional		$406.90	$502.59	$752.44