Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.94 / $792.94 / $792.94	Facility		$792.94	$792.94	$792.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.79 / $792.94 / $792.94	Professional		$626.79	$792.94	$792.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,101.54 / $4,187.07 / $7,626.03	Facility		$2,101.54	$4,187.07	$7,626.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,319.05 / $1,388.47 / $1,874.43	Professional		$1,319.05	$1,388.47	$1,874.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $708.25 / $788.61 / $902.51	Facility		$708.25	$788.61	$902.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,110.78 / $1,110.78 / $1,110.78	Professional		$1,110.78	$1,110.78	$1,110.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $680.86	Facility		$680.86	$680.86	$680.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.86 / $680.86 / $1,609.50	Professional		$680.86	$680.86	$1,609.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $792.94 / $1,003.37 / $1,003.37	Facility		$792.94	$1,003.37	$1,003.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $792.94 / $1,003.37 / $1,561.68	Professional		$792.94	$1,003.37	$1,561.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $521.01	Professional		$30.00	$30.00	$521.01
United Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $538.75 / $689.71	Facility		$8.98	$538.75	$689.71
United Facility/Professional Professional Modifier Low / Median / High Price $425.63 / $640.45 / $993.75	Professional		$425.63	$640.45	$993.75