Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.01 / $449.01 / $449.01	Facility		$449.01	$449.01	$449.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.91 / $449.01 / $473.33	Professional		$383.91	$449.01	$473.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,190.03 / $2,370.98 / $4,318.34	Facility		$1,190.03	$2,370.98	$4,318.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.93 / $786.24 / $1,061.42	Professional		$746.93	$786.24	$1,061.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.77 / $511.06 / $522.25	Facility		$474.77	$511.06	$522.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $628.99 / $628.99 / $628.99	Professional		$628.99	$628.99	$628.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $456.40 / $456.40	Facility		$456.40	$456.40	$456.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.40 / $456.40 / $911.63	Professional		$456.40	$456.40	$911.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $449.01 / $568.16 / $568.16	Facility		$449.01	$568.16	$568.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $449.01 / $568.16 / $884.30	Professional		$449.01	$568.16	$884.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $323.75	Professional		$30.00	$30.00	$323.75
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.66 / $375.86 / $562.71	Professional		$303.66	$375.86	$562.71