Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.01 / $621.01 / $621.01	Facility		$621.01	$621.01	$621.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.86 / $584.05 / $621.01	Professional		$515.86	$584.05	$621.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,645.86 / $3,279.19 / $5,972.49	Facility		$1,645.86	$3,279.19	$5,972.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.04 / $1,087.41 / $1,468.00	Professional		$1,033.04	$1,087.41	$1,468.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $689.90 / $706.82 / $710.67	Facility		$689.90	$706.82	$710.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $869.93 / $869.93 / $869.93	Professional		$869.93	$869.93	$869.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $607.01 / $607.01	Facility		$607.01	$607.01	$607.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.00 / $607.01 / $1,260.75	Professional		$607.00	$607.01	$1,260.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $621.01 / $785.81 / $785.81	Facility		$621.01	$785.81	$785.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $584.05 / $785.81 / $1,141.78	Professional		$584.05	$785.81	$1,141.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.41 / $505.60 / $723.33	Professional		$373.41	$505.60	$723.33