Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.28 / $466.28 / $466.28	Facility		$466.28	$466.28	$466.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.53 / $466.28 / $466.28	Professional		$355.53	$466.28	$466.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,235.79 / $2,462.17 / $4,484.43	Facility		$1,235.79	$2,462.17	$4,484.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.66 / $816.48 / $1,102.25	Professional		$775.66	$816.48	$1,102.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $454.05 / $454.05 / $530.71	Facility		$454.05	$454.05	$530.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $653.17 / $653.17 / $653.17	Professional		$653.17	$653.17	$653.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.76 / $555.76 / $555.76	Facility		$555.76	$555.76	$555.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.76 / $555.76 / $946.50	Professional		$555.76	$555.76	$946.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $466.28 / $590.00 / $590.00	Facility		$466.28	$590.00	$590.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $461.96 / $590.00 / $857.30	Professional		$461.96	$590.00	$857.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $495.44 / $604.20 / $694.83	Professional		$495.44	$604.20	$694.83
United Facility/Professional Professional Modifier Low / Median / High Price $290.41 / $390.32 / $584.34	Professional		$290.41	$390.32	$584.34