Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.85 / $404.85 / $404.85	Facility		$404.85	$404.85	$404.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.15 / $404.85 / $452.12	Professional		$346.15	$404.85	$452.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,072.98 / $2,137.79 / $3,893.62	Facility		$1,072.98	$2,137.79	$3,893.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.46 / $708.91 / $957.03	Professional		$673.46	$708.91	$957.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $460.79 / $460.79 / $460.79	Facility		$460.79	$460.79	$460.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $567.13 / $567.13 / $567.13	Professional		$567.13	$567.13	$567.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.59 / $458.59 / $458.59	Facility		$458.59	$458.59	$458.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.59 / $458.59 / $822.00	Professional		$458.59	$458.59	$822.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $404.85 / $512.29 / $512.29	Facility		$404.85	$512.29	$512.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $404.85 / $512.29 / $744.35	Professional		$404.85	$512.29	$744.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $430.16 / $524.59 / $603.27	Professional		$430.16	$524.59	$603.27
United Facility/Professional Professional Modifier Low / Median / High Price $294.73 / $353.67 / $544.99	Professional		$294.73	$353.67	$544.99