Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.84 / $772.84 / $772.84	Facility		$772.84	$772.84	$772.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.08 / $772.84 / $772.84	Professional		$620.08	$772.84	$772.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,048.26 / $4,080.92 / $7,432.70	Facility		$2,048.26	$4,080.92	$7,432.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,285.60 / $1,353.27 / $1,826.91	Professional		$1,285.60	$1,353.27	$1,826.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $730.64 / $821.40 / $879.63	Facility		$730.64	$821.40	$879.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,082.61 / $1,082.61 / $1,082.61	Professional		$1,082.61	$1,082.61	$1,082.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $702.38 / $702.38	Facility		$702.38	$702.38	$702.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.38 / $702.38 / $1,569.00	Professional		$702.38	$702.38	$1,569.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $772.84 / $977.93 / $977.93	Facility		$772.84	$977.93	$977.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $679.29 / $977.93 / $1,420.93	Professional		$679.29	$977.93	$1,420.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $821.16 / $1,001.42 / $1,151.63	Professional		$821.16	$1,001.42	$1,151.63
United Facility/Professional Professional Modifier Low / Median / High Price $467.32 / $646.95 / $968.56	Professional		$467.32	$646.95	$968.56