Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.25 / $594.25 / $594.25	Facility		$594.25	$594.25	$594.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $594.25 / $594.25	Professional		$461.36	$594.25	$594.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,574.94 / $3,137.88 / $5,715.12	Facility		$1,574.94	$3,137.88	$5,715.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $988.52 / $1,040.55 / $1,404.74	Professional		$988.52	$1,040.55	$1,404.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $568.61 / $568.61 / $676.36	Facility		$568.61	$568.61	$676.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $832.44 / $832.44 / $832.44	Professional		$832.44	$832.44	$832.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $673.11	Facility		$673.11	$673.11	$673.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.11 / $673.11 / $1,206.38	Professional		$673.11	$673.11	$1,206.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $594.25 / $751.95 / $751.95	Facility		$594.25	$751.95	$751.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $568.48 / $751.95 / $1,092.57	Professional		$568.48	$751.95	$1,092.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $631.40 / $770.01 / $885.51	Professional		$631.40	$770.01	$885.51
United Facility/Professional Professional Modifier Low / Median / High Price $363.68 / $497.45 / $727.36	Professional		$363.68	$497.45	$727.36