Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.47 / $465.47 / $465.47	Facility		$465.47	$465.47	$465.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.67 / $465.47 / $465.47	Professional		$344.67	$465.47	$465.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,233.63 / $2,457.86 / $4,476.58	Facility		$1,233.63	$2,457.86	$4,476.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $774.30 / $815.05 / $1,100.32	Professional		$774.30	$815.05	$1,100.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $456.89 / $456.89 / $529.78	Facility		$456.89	$456.89	$529.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $652.04 / $652.04 / $652.04	Professional		$652.04	$652.04	$652.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.25 / $527.25 / $527.25	Facility		$527.25	$527.25	$527.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.25 / $527.25 / $945.00	Professional		$527.25	$527.25	$945.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $465.47 / $589.00 / $589.00	Facility		$465.47	$589.00	$589.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $465.47 / $589.00 / $916.73	Professional		$465.47	$589.00	$916.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.23 / $389.65 / $568.01	Professional		$292.23	$389.65	$568.01