Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.36 / $542.36 / $542.36	Facility		$542.36	$542.36	$542.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.95 / $542.36 / $542.36	Professional		$402.95	$542.36	$542.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,437.41 / $2,863.89 / $5,216.08	Facility		$1,437.41	$2,863.89	$5,216.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.21 / $949.69 / $1,282.08	Professional		$902.21	$949.69	$1,282.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $497.89 / $497.89 / $617.29	Facility		$497.89	$497.89	$617.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $759.75 / $759.75 / $759.75	Professional		$759.75	$759.75	$759.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.80 / $550.80 / $550.80	Facility		$550.80	$550.80	$550.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.80 / $550.80 / $1,101.00	Professional		$550.80	$550.80	$1,101.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $542.36 / $686.29 / $686.29	Facility		$542.36	$686.29	$686.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $510.09 / $686.29 / $997.17	Professional		$510.09	$686.29	$997.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $576.27 / $702.77 / $808.18	Professional		$576.27	$702.77	$808.18
United Facility/Professional Professional Modifier Low / Median / High Price $299.22 / $438.06 / $679.71	Professional		$299.22	$438.06	$679.71