Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.33 / $530.33 / $530.33	Facility		$530.33	$530.33	$530.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.62 / $530.33 / $530.33	Professional		$459.62	$530.33	$530.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,405.54 / $2,800.38 / $5,100.41	Facility		$1,405.54	$2,800.38	$5,100.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.20 / $928.63 / $1,253.65	Professional		$882.20	$928.63	$1,253.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $559.99 / $575.45 / $603.61	Facility		$559.99	$575.45	$603.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $742.90 / $742.90 / $742.90	Professional		$742.90	$742.90	$742.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $501.14	Facility		$501.14	$501.14	$501.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.10 / $501.14 / $1,076.63	Professional		$383.10	$501.14	$1,076.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $530.33 / $671.08 / $671.08	Facility		$530.33	$671.08	$671.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $501.16 / $671.08 / $975.06	Professional		$501.16	$671.08	$975.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $563.49 / $687.19 / $790.26	Professional		$563.49	$687.19	$790.26
United Facility/Professional Professional Modifier Low / Median / High Price $313.29 / $436.09 / $664.65	Professional		$313.29	$436.09	$664.65