Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.93 / $440.93 / $440.93	Facility		$440.93	$440.93	$440.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.00 / $440.93 / $440.93	Professional		$354.00	$440.93	$440.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,168.60 / $2,328.31 / $4,240.63	Facility		$1,168.60	$2,328.31	$4,240.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.49 / $772.09 / $1,042.32	Professional		$733.49	$772.09	$1,042.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.29 / $436.29 / $501.86	Facility		$436.29	$436.29	$501.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $617.66 / $617.66 / $617.66	Professional		$617.66	$617.66	$617.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $419.41	Facility		$419.41	$419.41	$419.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $641.97 / $1,118.91	Professional		$306.17	$641.97	$1,118.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $440.93 / $557.94 / $557.94	Facility		$440.93	$557.94	$557.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $436.18 / $557.94 / $810.69	Professional		$436.18	$557.94	$810.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $468.50 / $571.35 / $657.05	Professional		$468.50	$571.35	$657.05
United Facility/Professional Professional Modifier Low / Median / High Price $279.05 / $369.10 / $544.77	Professional		$279.05	$369.10	$544.77