Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.72 / $451.72 / $451.72	Facility		$451.72	$451.72	$451.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.64 / $451.72 / $512.59	Professional		$408.64	$451.72	$512.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,197.20 / $2,385.28 / $4,344.38	Facility		$1,197.20	$2,385.28	$4,344.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.43 / $790.98 / $1,067.82	Professional		$751.43	$790.98	$1,067.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $514.14 / $514.14 / $615.03	Facility		$514.14	$514.14	$615.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $632.78 / $632.78 / $632.78	Professional		$632.78	$632.78	$632.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $494.25	Facility		$494.25	$494.25	$494.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.25 / $494.25 / $916.88	Professional		$494.25	$494.25	$916.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $451.72 / $571.60 / $571.60	Facility		$451.72	$571.60	$571.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $451.72 / $571.60 / $862.05	Professional		$451.72	$571.60	$862.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,117.92 / $1,363.32 / $1,567.81	Professional		$1,117.92	$1,363.32	$1,567.81
United Facility/Professional Professional Modifier Low / Median / High Price $308.98 / $378.14 / $566.12	Professional		$308.98	$378.14	$566.12