Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.63 / $425.63 / $425.63	Facility		$425.63	$425.63	$425.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.83 / $425.63 / $426.16	Professional		$346.83	$425.63	$426.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,128.04 / $2,247.50 / $4,093.43	Facility		$1,128.04	$2,247.50	$4,093.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.03 / $745.29 / $1,006.14	Professional		$708.03	$745.29	$1,006.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.45 / $427.45 / $484.44	Facility		$427.45	$427.45	$484.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $596.23 / $596.23 / $596.23	Professional		$596.23	$596.23	$596.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $410.92	Facility		$410.92	$410.92	$410.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.92 / $410.92 / $864.00	Professional		$410.92	$410.92	$864.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $425.63 / $538.57 / $538.57	Facility		$425.63	$538.57	$538.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $421.69 / $538.57 / $782.55	Professional		$421.69	$538.57	$782.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $452.23 / $551.51 / $634.23	Professional		$452.23	$551.51	$634.23
United Facility/Professional Professional Modifier Low / Median / High Price $273.39 / $356.29 / $533.41	Professional		$273.39	$356.29	$533.41