Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.25 / $441.25 / $441.25	Facility		$441.25	$441.25	$441.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.07 / $441.25 / $441.25	Professional		$319.07	$441.25	$441.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,169.47 / $2,330.03 / $4,243.76	Facility		$1,169.47	$2,330.03	$4,243.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $734.03 / $772.66 / $1,043.08	Professional		$734.03	$772.66	$1,043.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $397.73 / $420.75 / $502.23	Facility		$397.73	$420.75	$502.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $618.13 / $618.13 / $618.13	Professional		$618.13	$618.13	$618.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.82 / $499.82 / $499.82	Facility		$499.82	$499.82	$499.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.82 / $499.82 / $895.88	Professional		$499.82	$499.82	$895.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $441.25 / $558.36 / $558.36	Facility		$441.25	$558.36	$558.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $389.85 / $558.36 / $811.29	Professional		$389.85	$558.36	$811.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $468.85 / $571.77 / $657.53	Professional		$468.85	$571.77	$657.53
United Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $382.03 / $445.50	Facility		$4.78	$382.03	$445.50
United Facility/Professional Professional Modifier Low / Median / High Price $240.92 / $369.38 / $513.96	Professional		$240.92	$369.38	$513.96