Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.51 / $463.51 / $463.51	Facility		$463.51	$463.51	$463.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.26 / $463.51 / $463.51	Professional		$386.26	$463.51	$463.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,228.44 / $2,447.52 / $4,457.74	Facility		$1,228.44	$2,447.52	$4,457.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.04 / $811.62 / $1,095.69	Professional		$771.04	$811.62	$1,095.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $514.90 / $527.54 / $530.41	Facility		$514.90	$527.54	$530.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $649.29 / $649.29 / $649.29	Professional		$649.29	$649.29	$649.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.23 / $525.23 / $525.23	Facility		$525.23	$525.23	$525.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.24 / $525.23 / $940.88	Professional		$410.24	$525.23	$940.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $463.51 / $586.50 / $586.50	Facility		$463.51	$586.50	$586.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $459.22 / $586.50 / $852.20	Professional		$459.22	$586.50	$852.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $510.51 / $600.60 / $690.69	Professional		$510.51	$600.60	$690.69
United Facility/Professional Professional Modifier Low / Median / High Price $301.43 / $388.00 / $602.86	Professional		$301.43	$388.00	$602.86