Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.29 / $912.29 / $912.29	Facility		$912.29	$912.29	$912.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.24 / $912.29 / $912.29	Professional		$760.24	$912.29	$912.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,417.84 / $4,817.27 / $8,773.83	Facility		$2,417.84	$4,817.27	$8,773.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,517.58 / $1,597.45 / $2,156.56	Professional		$1,517.58	$1,597.45	$2,156.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,013.46 / $1,038.33 / $1,044.00	Facility		$1,013.46	$1,038.33	$1,044.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,277.96 / $1,277.96 / $1,277.96	Professional		$1,277.96	$1,277.96	$1,277.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $891.71	Facility		$891.71	$891.71	$891.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.87 / $891.71 / $1,851.75	Professional		$807.87	$891.71	$1,851.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $912.29 / $1,154.40 / $1,154.40	Facility		$912.29	$1,154.40	$1,154.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $912.29 / $1,154.40 / $1,677.32	Professional		$912.29	$1,154.40	$1,677.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,004.79 / $1,182.10 / $1,359.42	Professional		$1,004.79	$1,182.10	$1,359.42
United Facility/Professional Professional Modifier Low / Median / High Price $608.19 / $758.37 / $1,200.50	Professional		$608.19	$758.37	$1,200.50