Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.29 / $573.29 / $573.29	Facility		$573.29	$573.29	$573.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.85 / $573.29 / $573.29	Professional		$496.85	$573.29	$573.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,519.39 / $3,027.21 / $5,513.55	Facility		$1,519.39	$3,027.21	$5,513.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $953.66 / $1,003.85 / $1,355.20	Professional		$953.66	$1,003.85	$1,355.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $652.50 / $652.50 / $728.05	Facility		$652.50	$652.50	$728.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $803.08 / $803.08 / $803.08	Professional		$803.08	$803.08	$803.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $627.26	Facility		$627.26	$627.26	$627.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.90 / $834.68 / $1,454.53	Professional		$457.90	$834.68	$1,454.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $573.29 / $725.43 / $725.43	Facility		$573.29	$725.43	$725.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $567.99 / $725.43 / $1,054.04	Professional		$567.99	$725.43	$1,054.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $609.13 / $742.85 / $854.27	Professional		$609.13	$742.85	$854.27
United Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $496.34 / $635.41	Facility		$8.27	$496.34	$635.41
United Facility/Professional Professional Modifier Low / Median / High Price $392.13 / $496.34 / $718.47	Professional		$392.13	$496.34	$718.47