Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.95 / $554.95 / $554.95	Facility		$554.95	$554.95	$554.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.93 / $554.95 / $554.95	Professional		$442.93	$554.95	$554.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,470.81 / $2,930.41 / $5,337.24	Facility		$1,470.81	$2,930.41	$5,337.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $923.16 / $971.75 / $1,311.86	Professional		$923.16	$971.75	$1,311.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $533.97 / $618.52 / $631.64	Facility		$533.97	$618.52	$631.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $777.40 / $777.40 / $777.40	Professional		$777.40	$777.40	$777.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.34 / $511.34 / $511.34	Facility		$511.34	$511.34	$511.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.34 / $511.34 / $1,126.50	Professional		$511.34	$511.34	$1,126.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $554.95 / $702.22 / $702.22	Facility		$554.95	$702.22	$702.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $521.92 / $702.22 / $1,020.33	Professional		$521.92	$702.22	$1,020.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $589.66 / $719.10 / $826.96	Professional		$589.66	$719.10	$826.96
United Facility/Professional Facility Modifier Low / Median / High Price $6.74 / $404.62 / $517.99	Facility		$6.74	$404.62	$517.99
United Facility/Professional Professional Modifier Low / Median / High Price $319.66 / $451.81 / $680.43	Professional		$319.66	$451.81	$680.43