Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.43 / $853.43 / $853.43	Facility		$853.43	$853.43	$853.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.20 / $853.43 / $853.43	Professional		$711.20	$853.43	$853.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,261.85 / $4,506.47 / $8,207.79	Facility		$2,261.85	$4,506.47	$8,207.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,419.67 / $1,494.39 / $2,017.43	Professional		$1,419.67	$1,494.39	$2,017.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $948.04 / $971.35 / $976.61	Facility		$948.04	$971.35	$976.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,195.51 / $1,195.51 / $1,195.51	Professional		$1,195.51	$1,195.51	$1,195.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $967.10	Facility		$967.10	$967.10	$967.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.69 / $967.10 / $1,732.50	Professional		$755.69	$967.10	$1,732.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $853.43 / $1,079.92 / $1,079.92	Facility		$853.43	$1,079.92	$1,079.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $853.43 / $1,079.92 / $1,569.10	Professional		$853.43	$1,079.92	$1,569.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $939.97 / $1,105.84 / $1,271.72	Professional		$939.97	$1,105.84	$1,271.72
United Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $714.41 / $1,110.00	Professional		$555.00	$714.41	$1,110.00