Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.77 / $444.77 / $444.77	Facility		$444.77	$444.77	$444.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.42 / $444.77 / $444.77	Professional		$286.42	$444.77	$444.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,178.78 / $2,348.58 / $4,277.54	Facility		$1,178.78	$2,348.58	$4,277.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.87 / $778.81 / $1,051.39	Professional		$739.87	$778.81	$1,051.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $379.67 / $392.60 / $506.23	Facility		$379.67	$392.60	$506.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $623.04 / $623.04 / $623.04	Professional		$623.04	$623.04	$623.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.81 / $503.81 / $503.81	Facility		$503.81	$503.81	$503.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.78 / $647.57 / $1,128.75	Professional		$367.78	$647.57	$1,128.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $444.77 / $562.82 / $562.82	Facility		$444.77	$562.82	$562.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $562.82 / $817.75	Professional		$430.29	$562.82	$817.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $472.58 / $576.32 / $662.76	Professional		$472.58	$576.32	$662.76
United Facility/Professional Facility Modifier Low / Median / High Price $388.77 / $388.77 / $388.77	Facility		$388.77	$388.77	$388.77
United Facility/Professional Professional Modifier Low / Median / High Price $242.84 / $372.32 / $520.39	Professional		$242.84	$372.32	$520.39