Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.92 / $441.92 / $441.92	Facility		$441.92	$441.92	$441.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.95 / $441.92 / $447.78	Professional		$365.95	$441.92	$447.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,171.24 / $2,333.56 / $4,250.18	Facility		$1,171.24	$2,333.56	$4,250.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.14 / $773.83 / $1,044.67	Professional		$735.14	$773.83	$1,044.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $451.02 / $451.02 / $502.99	Facility		$451.02	$451.02	$502.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $619.05 / $619.05 / $619.05	Professional		$619.05	$619.05	$619.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $500.58	Facility		$500.58	$500.58	$500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.58 / $500.58 / $897.00	Professional		$500.58	$500.58	$897.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $441.92 / $559.20 / $559.20	Facility		$441.92	$559.20	$559.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $441.92 / $559.20 / $812.52	Professional		$441.92	$559.20	$812.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $572.63 / $658.52	Professional		$469.55	$572.63	$658.52
United Facility/Professional Professional Modifier Low / Median / High Price $288.47 / $386.05 / $597.46	Professional		$288.47	$386.05	$597.46