Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.18 / $431.18 / $431.18	Facility		$431.18	$431.18	$431.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.60 / $431.18 / $431.18	Professional		$346.60	$431.18	$431.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,142.76 / $2,276.81 / $4,146.82	Facility		$1,142.76	$2,276.81	$4,146.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.26 / $755.01 / $1,019.26	Professional		$717.26	$755.01	$1,019.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $418.18 / $458.27 / $490.76	Facility		$418.18	$458.27	$490.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $604.01 / $604.01 / $604.01	Professional		$604.01	$604.01	$604.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $394.91	Facility		$394.91	$394.91	$394.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.90 / $394.91 / $875.25	Professional		$394.90	$394.91	$875.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $431.18 / $545.60 / $545.60	Facility		$431.18	$545.60	$545.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $379.58 / $545.60 / $792.76	Professional		$379.58	$545.60	$792.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $458.14 / $558.71 / $642.51	Professional		$458.14	$558.71	$642.51
United Facility/Professional Professional Modifier Low / Median / High Price $262.75 / $360.94 / $533.60	Professional		$262.75	$360.94	$533.60