Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.55 / $451.55 / $451.55	Facility		$451.55	$451.55	$451.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.12 / $451.55 / $451.55	Professional		$374.12	$451.55	$451.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.74 / $2,384.37 / $4,342.72	Facility		$1,196.74	$2,384.37	$4,342.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.15 / $790.68 / $1,067.42	Professional		$751.15	$790.68	$1,067.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $456.75 / $462.26 / $513.94	Facility		$456.75	$462.26	$513.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $632.54 / $632.54	Professional		$632.54	$632.54	$632.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.36 / $564.36 / $564.36	Facility		$564.36	$564.36	$564.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $564.36 / $916.50	Professional		$411.98	$564.36	$916.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $451.55 / $571.39 / $571.39	Facility		$451.55	$571.39	$571.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $451.55 / $571.39 / $889.31	Professional		$451.55	$571.39	$889.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $497.33 / $585.10 / $672.86	Professional		$497.33	$585.10	$672.86
United Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $378.00 / $565.90	Professional		$277.85	$378.00	$565.90