Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.49 / $378.49 / $378.49	Facility		$378.49	$378.49	$378.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $378.49 / $378.49	Professional		$284.08	$378.49	$378.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,003.11 / $1,998.59 / $3,640.09	Facility		$1,003.11	$1,998.59	$3,640.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.61 / $662.75 / $894.71	Professional		$629.61	$662.75	$894.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $350.13 / $350.13 / $430.79	Facility		$350.13	$350.13	$430.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $530.20 / $530.20 / $530.20	Professional		$530.20	$530.20	$530.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $393.88	Facility		$393.88	$393.88	$393.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $551.07 / $960.47	Professional		$287.52	$551.07	$960.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $378.49 / $478.93 / $478.93	Facility		$378.49	$478.93	$478.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $337.49 / $478.93 / $695.88	Professional		$337.49	$478.93	$695.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $402.16 / $490.44 / $564.00	Professional		$402.16	$490.44	$564.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.33 / $311.23 / $474.34	Professional		$252.33	$311.23	$474.34