Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.67 / $428.67 / $428.67	Facility		$428.67	$428.67	$428.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.51 / $428.67 / $486.43	Professional		$366.51	$428.67	$486.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,136.10 / $2,263.57 / $4,122.71	Facility		$1,136.10	$2,263.57	$4,122.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.09 / $750.62 / $1,013.34	Professional		$713.09	$750.62	$1,013.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $487.90 / $487.90 / $487.90	Facility		$487.90	$487.90	$487.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $600.50 / $600.50 / $600.50	Professional		$600.50	$600.50	$600.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $485.57 / $485.57	Facility		$485.57	$485.57	$485.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.57 / $485.57 / $870.38	Professional		$485.57	$485.57	$870.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $428.67 / $542.42 / $542.42	Facility		$428.67	$542.42	$542.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $428.67 / $542.42 / $788.15	Professional		$428.67	$542.42	$788.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $455.47 / $555.46 / $638.77	Professional		$455.47	$555.46	$638.77
United Facility/Professional Professional Modifier Low / Median / High Price $312.06 / $373.64 / $577.04	Professional		$312.06	$373.64	$577.04