Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.68 / $440.68 / $440.68	Facility		$440.68	$440.68	$440.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.96 / $440.68 / $483.64	Professional		$403.96	$440.68	$483.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,167.94 / $2,326.98 / $4,238.21	Facility		$1,167.94	$2,326.98	$4,238.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.07 / $771.65 / $1,041.73	Professional		$733.07	$771.65	$1,041.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.57 / $542.30 / $623.83	Facility		$501.57	$542.30	$623.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $617.32 / $617.32 / $617.32	Professional		$617.32	$617.32	$617.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.17 / $499.17 / $499.17	Facility		$499.17	$499.17	$499.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.17 / $499.17 / $894.75	Professional		$499.17	$499.17	$894.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $440.68 / $557.63 / $557.63	Facility		$440.68	$557.63	$557.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $440.68 / $557.63 / $887.39	Professional		$440.68	$557.63	$887.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $342.15	Professional		$30.00	$30.00	$342.15
United Facility/Professional Professional Modifier Low / Median / High Price $301.43 / $384.11 / $552.29	Professional		$301.43	$384.11	$552.29