Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.46 / $675.46 / $675.46	Facility		$675.46	$675.46	$675.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.50 / $675.46 / $675.46	Professional		$505.50	$675.46	$675.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,790.18 / $3,566.73 / $6,496.19	Facility		$1,790.18	$3,566.73	$6,496.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,123.61 / $1,182.76 / $1,596.73	Professional		$1,123.61	$1,182.76	$1,596.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $652.57 / $655.91 / $768.79	Facility		$652.57	$655.91	$768.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $946.21 / $946.21 / $946.21	Professional		$946.21	$946.21	$946.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.11 / $765.11 / $765.11	Facility		$765.11	$765.11	$765.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.11 / $765.11 / $1,371.00	Professional		$765.11	$765.11	$1,371.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $675.46 / $854.71 / $854.71	Facility		$675.46	$854.71	$854.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $675.46 / $854.71 / $1,330.30	Professional		$675.46	$854.71	$1,330.30
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 $417.39 / $565.42 / $834.78	Professional		$417.39	$565.42	$834.78