Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.21 / $740.21 / $740.21	Facility		$740.21	$740.21	$740.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.87 / $740.21 / $740.21	Professional		$614.87	$740.21	$740.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,961.79 / $3,908.64 / $7,118.92	Facility		$1,961.79	$3,908.64	$7,118.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,231.33 / $1,296.14 / $1,749.79	Professional		$1,231.33	$1,296.14	$1,749.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $822.30 / $842.49 / $847.06	Facility		$822.30	$842.49	$847.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,036.91 / $1,036.91 / $1,036.91	Professional		$1,036.91	$1,036.91	$1,036.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $723.52	Facility		$723.52	$723.52	$723.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.52 / $723.52 / $1,502.63	Professional		$723.52	$723.52	$1,502.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $740.21 / $936.65 / $936.65	Facility		$740.21	$936.65	$936.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $740.21 / $936.65 / $1,360.94	Professional		$740.21	$936.65	$1,360.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $815.26 / $959.14 / $1,103.01	Professional		$815.26	$959.14	$1,103.01
United Facility/Professional Professional Modifier Low / Median / High Price $452.30 / $608.66 / $962.76	Professional		$452.30	$608.66	$962.76