Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.88 / $427.88 / $427.88	Facility		$427.88	$427.88	$427.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.20 / $427.88 / $427.88	Professional		$370.20	$427.88	$427.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,134.02 / $2,259.41 / $4,115.13	Facility		$1,134.02	$2,259.41	$4,115.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.78 / $749.24 / $1,011.47	Professional		$711.78	$749.24	$1,011.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $487.01 / $499.65 / $518.34	Facility		$487.01	$499.65	$518.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $599.39 / $599.39 / $599.39	Professional		$599.39	$599.39	$599.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.57 / $450.57 / $450.57	Facility		$450.57	$450.57	$450.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.57 / $450.57 / $868.50	Professional		$450.57	$450.57	$868.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $427.88 / $541.41 / $541.41	Facility		$427.88	$541.41	$541.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $423.96 / $541.41 / $786.70	Professional		$423.96	$541.41	$786.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $454.64 / $554.44 / $637.60	Professional		$454.64	$554.44	$637.60
United Facility/Professional Professional Modifier Low / Median / High Price $281.67 / $359.73 / $536.22	Professional		$281.67	$359.73	$536.22