Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.91 / $502.91 / $502.91	Facility		$502.91	$502.91	$502.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.48 / $502.91 / $502.91	Professional		$387.48	$502.91	$502.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.88 / $2,655.60 / $4,836.72	Facility		$1,332.88	$2,655.60	$4,836.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.59 / $880.62 / $1,188.83	Professional		$836.59	$880.62	$1,188.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $513.64 / $513.64 / $572.40	Facility		$513.64	$513.64	$572.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $704.50 / $704.50 / $704.50	Professional		$704.50	$704.50	$704.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $589.44 / $589.44	Facility		$589.44	$589.44	$589.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.44 / $589.44 / $1,020.75	Professional		$589.44	$589.44	$1,020.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $502.91 / $636.37 / $636.37	Facility		$502.91	$636.37	$636.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $636.37 / $924.65	Professional		$448.43	$636.37	$924.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $534.36 / $651.66 / $749.40	Professional		$534.36	$651.66	$749.40
United Facility/Professional Professional Modifier Low / Median / High Price $328.53 / $420.99 / $625.24	Professional		$328.53	$420.99	$625.24