Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.64 / $669.64 / $669.64	Facility		$669.64	$669.64	$669.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.08 / $669.64 / $669.64	Professional		$478.08	$669.64	$669.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,774.76 / $3,536.00 / $6,440.22	Facility		$1,774.76	$3,536.00	$6,440.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,113.94 / $1,172.57 / $1,582.97	Professional		$1,113.94	$1,172.57	$1,582.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $590.72 / $739.04 / $762.17	Facility		$590.72	$739.04	$762.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $938.06 / $938.06 / $938.06	Professional		$938.06	$938.06	$938.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $567.88	Facility		$567.88	$567.88	$567.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.55 / $974.97 / $1,699.22	Professional		$414.55	$974.97	$1,699.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $669.64 / $847.35 / $847.35	Facility		$669.64	$847.35	$847.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $669.64 / $847.35 / $1,318.84	Professional		$669.64	$847.35	$1,318.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $335.87	Professional		$30.00	$30.00	$335.87
United Facility/Professional Professional Modifier Low / Median / High Price $377.83 / $550.64 / $839.23	Professional		$377.83	$550.64	$839.23