Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.95 / $735.95 / $735.95	Facility		$735.95	$735.95	$735.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.24 / $735.95 / $835.12	Professional		$629.24	$735.95	$835.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,950.51 / $3,886.17 / $7,078.00	Facility		$1,950.51	$3,886.17	$7,078.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,224.26 / $1,288.69 / $1,739.73	Professional		$1,224.26	$1,288.69	$1,739.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $837.65 / $837.65 / $1,116.85	Facility		$837.65	$837.65	$1,116.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,030.95 / $1,030.95 / $1,030.95	Professional		$1,030.95	$1,030.95	$1,030.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $908.11	Facility		$908.11	$908.11	$908.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $1,071.52 / $1,867.50	Professional		$662.92	$1,071.52	$1,867.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $735.95 / $931.27 / $931.27	Facility		$735.95	$931.27	$931.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $735.95 / $931.27 / $1,449.44	Professional		$735.95	$931.27	$1,449.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $480.35	Professional		$30.00	$30.00	$480.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,460.51 / $1,718.25 / $1,718.25	Facility		$1,460.51	$1,718.25	$1,718.25
United Facility/Professional Professional Modifier Low / Median / High Price $535.76 / $642.91 / $990.71	Professional		$535.76	$642.91	$990.71