Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.37 / $395.37 / $395.37	Facility		$395.37	$395.37	$395.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.49 / $395.37 / $395.37	Professional		$336.49	$395.37	$395.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.85 / $2,087.73 / $3,802.44	Facility		$1,047.85	$2,087.73	$3,802.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.69 / $692.31 / $934.62	Professional		$657.69	$692.31	$934.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.85 / $553.85 / $553.85	Professional		$553.85	$553.85	$553.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $432.60	Facility		$432.60	$432.60	$432.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.60 / $432.60 / $802.50	Professional		$432.60	$432.60	$802.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $395.37 / $500.30 / $500.30	Facility		$395.37	$500.30	$500.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $395.37 / $500.30 / $778.68	Professional		$395.37	$500.30	$778.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $420.09 / $512.30 / $589.15	Professional		$420.09	$512.30	$589.15
United Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $456.41 / $532.23	Facility		$5.71	$456.41	$532.23
United Facility/Professional Professional Modifier Low / Median / High Price $287.83 / $345.39 / $532.23	Professional		$287.83	$345.39	$532.23