Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.16 / $405.16 / $405.16	Facility		$405.16	$405.16	$405.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.63 / $405.16 / $405.16	Professional		$337.63	$405.16	$405.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,073.80 / $2,139.42 / $3,896.58	Facility		$1,073.80	$2,139.42	$3,896.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.98 / $709.45 / $957.76	Professional		$673.98	$709.45	$957.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.91 / $436.91 / $461.14	Facility		$436.91	$436.91	$461.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $567.55 / $567.55 / $567.55	Professional		$567.55	$567.55	$567.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.01 / $420.01 / $420.01	Facility		$420.01	$420.01	$420.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.01 / $420.01 / $822.38	Professional		$420.01	$420.01	$822.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $405.16 / $512.67 / $512.67	Facility		$405.16	$512.67	$512.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $403.21 / $512.67 / $744.92	Professional		$403.21	$512.67	$744.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $430.49 / $524.99 / $603.73	Professional		$430.49	$524.99	$603.73
United Facility/Professional Professional Modifier Low / Median / High Price $279.45 / $339.16 / $531.84	Professional		$279.45	$339.16	$531.84