Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.21 / $407.21 / $407.21	Facility		$407.21	$407.21	$407.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.35 / $407.21 / $429.13	Professional		$339.35	$407.21	$429.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,079.24 / $2,150.27 / $3,916.36	Facility		$1,079.24	$2,150.27	$3,916.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.40 / $713.05 / $962.62	Professional		$677.40	$713.05	$962.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $441.03 / $441.03 / $463.48	Facility		$441.03	$441.03	$463.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $570.44 / $570.44 / $570.44	Professional		$570.44	$570.44	$570.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $472.30	Facility		$472.30	$472.30	$472.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.30 / $472.30 / $826.50	Professional		$472.30	$472.30	$826.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $407.21 / $515.27 / $515.27	Facility		$407.21	$515.27	$515.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $403.45 / $515.27 / $748.70	Professional		$403.45	$515.27	$748.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $432.68 / $527.66 / $606.80	Professional		$432.68	$527.66	$606.80
United Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $340.88 / $521.61	Professional		$282.08	$340.88	$521.61