Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.73 / $772.73 / $772.73	Facility		$772.73	$772.73	$772.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.62 / $772.73 / $772.73	Professional		$575.62	$772.73	$772.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,047.99 / $4,080.38 / $7,431.71	Facility		$2,047.99	$4,080.38	$7,431.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,285.44 / $1,353.09 / $1,826.67	Professional		$1,285.44	$1,353.09	$1,826.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.64 / $750.83 / $879.51	Facility		$741.64	$750.83	$879.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,082.47 / $1,082.47 / $1,082.47	Professional		$1,082.47	$1,082.47	$1,082.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $875.29	Facility		$875.29	$875.29	$875.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.29 / $875.29 / $1,568.63	Professional		$875.29	$875.29	$1,568.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $772.73 / $977.80 / $977.80	Facility		$772.73	$977.80	$977.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $772.73 / $977.80 / $1,420.74	Professional		$772.73	$977.80	$1,420.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $821.05 / $1,001.29 / $1,151.48	Professional		$821.05	$1,001.29	$1,151.48
United Facility/Professional Professional Modifier Low / Median / High Price $450.53 / $646.86 / $904.09	Professional		$450.53	$646.86	$904.09