Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.04 / $771.04 / $771.04	Facility		$771.04	$771.04	$771.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.78 / $771.04 / $771.04	Professional		$619.78	$771.04	$771.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,043.49 / $4,071.42 / $7,415.40	Facility		$2,043.49	$4,071.42	$7,415.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,282.60 / $1,350.12 / $1,822.66	Professional		$1,282.60	$1,350.12	$1,822.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $732.45 / $819.50 / $877.58	Facility		$732.45	$819.50	$877.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,080.09 / $1,080.09 / $1,080.09	Professional		$1,080.09	$1,080.09	$1,080.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.73 / $957.73 / $957.73	Facility		$957.73	$957.73	$957.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.73 / $957.73 / $1,565.25	Professional		$957.73	$957.73	$1,565.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $771.04 / $975.67 / $975.67	Facility		$771.04	$975.67	$975.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $763.93 / $975.67 / $1,417.62	Professional		$763.93	$975.67	$1,417.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $819.25 / $999.09 / $1,148.95	Professional		$819.25	$999.09	$1,148.95
United Facility/Professional Facility Modifier Low / Median / High Price $595.23 / $595.23 / $595.23	Facility		$595.23	$595.23	$595.23
United Facility/Professional Professional Modifier Low / Median / High Price $454.76 / $645.45 / $902.12	Professional		$454.76	$645.45	$902.12