Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.88 / $491.88 / $491.88	Facility		$491.88	$491.88	$491.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.48 / $491.88 / $491.88	Professional		$411.48	$491.88	$491.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.63 / $2,597.34 / $4,730.60	Facility		$1,303.63	$2,597.34	$4,730.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.23 / $861.30 / $1,162.76	Professional		$818.23	$861.30	$1,162.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $559.85 / $575.37 / $667.26	Facility		$559.85	$575.37	$667.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $689.04 / $689.04 / $689.04	Professional		$689.04	$689.04	$689.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.34 / $496.34 / $496.34	Facility		$496.34	$496.34	$496.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $716.16 / $1,248.28	Professional		$362.33	$716.16	$1,248.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $491.88 / $622.41 / $622.41	Facility		$491.88	$622.41	$622.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $622.41 / $968.75	Professional		$491.88	$622.41	$968.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $541.75 / $637.36 / $732.96	Professional		$541.75	$637.36	$732.96
United Facility/Professional Professional Modifier Low / Median / High Price $327.92 / $408.89 / $616.46	Professional		$327.92	$408.89	$616.46