Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.27 / $758.27 / $758.27	Facility		$758.27	$758.27	$758.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.01 / $758.27 / $813.17	Professional		$692.01	$758.27	$813.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.66 / $4,004.02 / $7,292.64	Facility		$2,009.66	$4,004.02	$7,292.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,261.38 / $1,327.77 / $1,792.49	Professional		$1,261.38	$1,327.77	$1,792.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $855.05 / $863.05 / $908.34	Facility		$855.05	$863.05	$908.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,062.22 / $1,062.22 / $1,062.22	Professional		$1,062.22	$1,062.22	$1,062.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $830.86	Facility		$830.86	$830.86	$830.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.86 / $830.86 / $1,539.38	Professional		$830.86	$830.86	$1,539.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $758.27 / $959.50 / $959.50	Facility		$758.27	$959.50	$959.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $758.27 / $959.50 / $1,493.40	Professional		$758.27	$959.50	$1,493.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $805.69 / $982.55 / $1,129.93	Professional		$805.69	$982.55	$1,129.93
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $513.85 / $650.41 / $950.30	Professional		$513.85	$650.41	$950.30