Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.74 / $385.74 / $385.74	Facility		$385.74	$385.74	$385.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.27 / $385.74 / $385.74	Professional		$323.27	$385.74	$385.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,022.34 / $2,036.89 / $3,709.84	Facility		$1,022.34	$2,036.89	$3,709.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.67 / $675.45 / $911.86	Professional		$641.67	$675.45	$911.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.51 / $439.04 / $441.42	Facility		$428.51	$439.04	$441.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $540.36 / $540.36 / $540.36	Professional		$540.36	$540.36	$540.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $436.96 / $436.96	Facility		$436.96	$436.96	$436.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.96 / $436.96 / $783.00	Professional		$436.96	$436.96	$783.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $385.74 / $488.12 / $488.12	Facility		$385.74	$488.12	$488.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $385.74 / $488.12 / $759.70	Professional		$385.74	$488.12	$759.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $30.00 / $30.00	Professional		$6.81	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.47 / $322.91 / $483.45	Professional		$252.47	$322.91	$483.45