Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.87 / $541.87 / $541.87	Facility		$541.87	$541.87	$541.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.95 / $541.87 / $541.87	Professional		$448.95	$541.87	$541.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,436.13 / $2,861.32 / $5,211.41	Facility		$1,436.13	$2,861.32	$5,211.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $901.40 / $948.84 / $1,280.93	Professional		$901.40	$948.84	$1,280.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $548.11 / $554.74 / $616.75	Facility		$548.11	$554.74	$616.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $759.07 / $759.07 / $759.07	Professional		$759.07	$759.07	$759.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.74 / $528.74 / $528.74	Facility		$528.74	$528.74	$528.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.00 / $528.74 / $1,099.88	Professional		$454.00	$528.74	$1,099.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $541.87 / $685.65 / $685.65	Facility		$541.87	$685.65	$685.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $541.87 / $685.65 / $1,067.20	Professional		$541.87	$685.65	$1,067.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $596.81 / $702.14 / $807.46	Professional		$596.81	$702.14	$807.46
United Facility/Professional Professional Modifier Low / Median / High Price $333.44 / $453.60 / $634.59	Professional		$333.44	$453.60	$634.59