Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.60 / $878.60 / $878.60	Facility		$878.60	$878.60	$878.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.09 / $878.60 / $878.60	Professional		$765.09	$878.60	$878.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,328.57 / $4,639.41 / $8,449.89	Facility		$2,328.57	$4,639.41	$8,449.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,461.55 / $1,538.47 / $2,076.92	Professional		$1,461.55	$1,538.47	$2,076.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $962.62 / $996.40 / $1,000.01	Facility		$962.62	$996.40	$1,000.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.78 / $1,230.78 / $1,230.78	Professional		$1,230.78	$1,230.78	$1,230.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $842.96	Facility		$842.96	$842.96	$842.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.96 / $842.96 / $1,783.50	Professional		$842.96	$842.96	$1,783.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $878.60 / $1,111.79 / $1,111.79	Facility		$878.60	$1,111.79	$1,111.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $878.60 / $1,111.79 / $1,730.39	Professional		$878.60	$1,111.79	$1,730.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $553.49	Professional		$30.00	$30.00	$553.49
United Facility/Professional Professional Modifier Low / Median / High Price $526.97 / $722.48 / $1,101.13	Professional		$526.97	$722.48	$1,101.13