Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.50 / $768.50 / $768.50	Facility		$768.50	$768.50	$768.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.07 / $768.50 / $872.06	Professional		$657.07	$768.50	$872.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,036.77 / $4,058.03 / $7,391.01	Facility		$2,036.77	$4,058.03	$7,391.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,278.40 / $1,345.68 / $1,816.67	Professional		$1,278.40	$1,345.68	$1,816.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $874.69 / $874.69 / $890.69	Facility		$874.69	$874.69	$890.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,076.54 / $1,076.54 / $1,076.54	Professional		$1,076.54	$1,076.54	$1,076.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.50 / $870.50 / $870.50	Facility		$870.50	$870.50	$870.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.50 / $870.50 / $1,560.00	Professional		$870.50	$870.50	$1,560.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $768.50 / $972.46 / $972.46	Facility		$768.50	$972.46	$972.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $768.50 / $972.46 / $1,412.96	Professional		$768.50	$972.46	$1,412.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $816.55 / $995.80 / $1,145.17	Professional		$816.55	$995.80	$1,145.17
United Facility/Professional Professional Modifier Low / Median / High Price $559.46 / $671.35 / $1,034.53	Professional		$559.46	$671.35	$1,034.53