Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.72 / $472.72 / $472.72	Facility		$472.72	$472.72	$472.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.93 / $472.72 / $472.72	Professional		$393.93	$472.72	$472.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,252.83 / $2,496.13 / $4,546.28	Facility		$1,252.83	$2,496.13	$4,546.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $786.35 / $827.74 / $1,117.45	Professional		$786.35	$827.74	$1,117.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $505.70 / $538.03 / $614.10	Facility		$505.70	$538.03	$614.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $662.19 / $662.19 / $662.19	Professional		$662.19	$662.19	$662.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.94 / $511.94 / $511.94	Facility		$511.94	$511.94	$511.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.72 / $688.25 / $1,199.53	Professional		$373.72	$688.25	$1,199.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $472.72 / $598.16 / $598.16	Facility		$472.72	$598.16	$598.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $472.72 / $598.16 / $931.00	Professional		$472.72	$598.16	$931.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $502.27 / $612.53 / $704.40	Professional		$502.27	$612.53	$704.40
United Facility/Professional Professional Modifier Low / Median / High Price $294.58 / $395.71 / $589.16	Professional		$294.58	$395.71	$589.16