Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.42 / $635.42 / $635.42	Facility		$635.42	$635.42	$635.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.15 / $635.42 / $635.42	Professional		$536.15	$635.42	$635.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,684.09 / $3,355.37 / $6,111.23	Facility		$1,684.09	$3,355.37	$6,111.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.04 / $1,112.67 / $1,502.10	Professional		$1,057.04	$1,112.67	$1,502.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $710.70 / $710.70 / $723.24	Facility		$710.70	$710.70	$723.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $890.14 / $890.14 / $890.14	Professional		$890.14	$890.14	$890.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $719.79	Facility		$719.79	$719.79	$719.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.79 / $719.79 / $1,290.00	Professional		$719.79	$719.79	$1,290.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $635.42 / $804.09 / $804.09	Facility		$635.42	$804.09	$804.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $635.42 / $804.09 / $1,279.57	Professional		$635.42	$804.09	$1,279.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $675.17 / $823.38 / $946.88	Professional		$675.17	$823.38	$946.88
United Facility/Professional Professional Modifier Low / Median / High Price $454.57 / $545.48 / $840.57	Professional		$454.57	$545.48	$840.57