Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.28 / $784.28 / $784.28	Facility		$784.28	$784.28	$784.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.92 / $784.28 / $889.96	Professional		$718.92	$784.28	$889.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,078.58 / $4,141.32 / $7,542.71	Facility		$2,078.58	$4,141.32	$7,542.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,304.64 / $1,373.30 / $1,853.96	Professional		$1,304.64	$1,373.30	$1,853.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $892.65 / $950.33 / $1,157.35	Facility		$892.65	$950.33	$1,157.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,098.64 / $1,098.64 / $1,098.64	Professional		$1,098.64	$1,098.64	$1,098.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $888.38	Facility		$888.38	$888.38	$888.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.38 / $888.38 / $1,592.25	Professional		$888.38	$888.38	$1,592.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $784.28 / $992.41 / $992.41	Facility		$784.28	$992.41	$992.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $784.28 / $992.41 / $1,605.90	Professional		$784.28	$992.41	$1,605.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $612.98	Professional		$30.00	$30.00	$612.98
United Facility/Professional Professional Modifier Low / Median / High Price $536.44 / $685.12 / $982.90	Professional		$536.44	$685.12	$982.90