Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.41 / $389.41 / $389.41	Facility		$389.41	$389.41	$389.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.48 / $389.41 / $389.41	Professional		$323.48	$389.41	$389.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,032.05 / $2,056.25 / $3,745.10	Facility		$1,032.05	$2,056.25	$3,745.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.78 / $681.87 / $920.52	Professional		$647.78	$681.87	$920.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $432.61 / $443.22 / $445.62	Facility		$432.61	$443.22	$445.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $545.50 / $545.50 / $545.50	Professional		$545.50	$545.50	$545.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.61 / $380.63 / $790.50	Professional		$344.61	$380.63	$790.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $389.41 / $492.76 / $492.76	Facility		$389.41	$492.76	$492.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $389.41 / $492.76 / $715.96	Professional		$389.41	$492.76	$715.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $413.75 / $504.58 / $580.26	Professional		$413.75	$504.58	$580.26
United Facility/Professional Professional Modifier Low / Median / High Price $237.95 / $320.20 / $481.97	Professional		$237.95	$320.20	$481.97