Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.19 / $399.19 / $399.19	Facility		$399.19	$399.19	$399.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.12 / $399.19 / $399.19	Professional		$324.12	$399.19	$399.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,057.96 / $2,107.87 / $3,839.13	Facility		$1,057.96	$2,107.87	$3,839.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.04 / $698.99 / $943.64	Professional		$664.04	$698.99	$943.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $399.46 / $399.46 / $454.34	Facility		$399.46	$399.46	$454.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $559.19 / $559.19 / $559.19	Professional		$559.19	$559.19	$559.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $452.18	Facility		$452.18	$452.18	$452.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.18 / $452.18 / $810.38	Professional		$452.18	$452.18	$810.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $399.19 / $505.12 / $505.12	Facility		$399.19	$505.12	$505.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $399.19 / $505.12 / $786.19	Professional		$399.19	$505.12	$786.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $293.85	Professional		$30.00	$30.00	$293.85
United Facility/Professional Facility Modifier Low / Median / High Price $696.49 / $819.40 / $819.40	Facility		$696.49	$819.40	$819.40
United Facility/Professional Professional Modifier Low / Median / High Price $255.50 / $334.16 / $498.79	Professional		$255.50	$334.16	$498.79