Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.74 / $435.74 / $435.74	Facility		$435.74	$435.74	$435.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.76 / $435.74 / $435.74	Professional		$336.76	$435.74	$435.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,154.85 / $2,300.92 / $4,190.76	Facility		$1,154.85	$2,300.92	$4,190.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.86 / $763.01 / $1,030.06	Professional		$724.86	$763.01	$1,030.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.97 / $444.24 / $495.96	Facility		$371.97	$444.24	$495.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $610.41 / $610.41 / $610.41	Professional		$610.41	$610.41	$610.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $493.58	Facility		$493.58	$493.58	$493.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.58 / $493.58 / $884.63	Professional		$493.58	$493.58	$884.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $435.74 / $551.39 / $551.39	Facility		$435.74	$551.39	$551.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $426.52 / $551.39 / $801.16	Professional		$426.52	$551.39	$801.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $462.99 / $564.63 / $649.32	Professional		$462.99	$564.63	$649.32
United Facility/Professional Facility Modifier Low / Median / High Price $648.55 / $763.01 / $763.01	Facility		$648.55	$763.01	$763.01
United Facility/Professional Professional Modifier Low / Median / High Price $237.91 / $364.77 / $507.54	Professional		$237.91	$364.77	$507.54