Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.66 / $427.66 / $427.66	Facility		$427.66	$427.66	$427.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.43 / $427.66 / $427.66	Professional		$349.43	$427.66	$427.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,133.42 / $2,258.19 / $4,112.93	Facility		$1,133.42	$2,258.19	$4,112.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.40 / $748.84 / $1,010.93	Professional		$711.40	$748.84	$1,010.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $425.53 / $486.75 / $493.55	Facility		$425.53	$486.75	$493.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $599.07 / $599.07 / $599.07	Professional		$599.07	$599.07	$599.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.42 / $484.42 / $484.42	Facility		$484.42	$484.42	$484.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.42 / $484.42 / $868.13	Professional		$484.42	$484.42	$868.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $427.66 / $541.15 / $541.15	Facility		$427.66	$541.15	$541.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $427.66 / $541.15 / $829.00	Professional		$427.66	$541.15	$829.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $234.70	Professional		$30.00	$30.00	$234.70
United Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $358.00 / $529.24	Professional		$272.08	$358.00	$529.24