Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.94 / $582.94 / $582.94	Facility		$582.94	$582.94	$582.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.41 / $582.94 / $582.94	Professional		$498.41	$582.94	$582.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,544.96 / $3,078.14 / $5,606.31	Facility		$1,544.96	$3,078.14	$5,606.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $969.70 / $1,020.74 / $1,378.00	Professional		$969.70	$1,020.74	$1,378.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $663.48 / $663.48 / $667.49	Facility		$663.48	$663.48	$667.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $816.59 / $816.59 / $816.59	Professional		$816.59	$816.59	$816.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.31 / $660.31 / $660.31	Facility		$660.31	$660.31	$660.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.31 / $660.31 / $1,183.50	Professional		$660.31	$660.31	$1,183.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $582.94 / $737.64 / $737.64	Facility		$582.94	$737.64	$737.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $582.94 / $737.64 / $1,071.77	Professional		$582.94	$737.64	$1,071.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $619.38 / $755.35 / $868.65	Professional		$619.38	$755.35	$868.65
United Facility/Professional Professional Modifier Low / Median / High Price $424.37 / $509.24 / $784.72	Professional		$424.37	$509.24	$784.72