Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.42 / $460.42 / $460.42	Facility		$460.42	$460.42	$460.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.68 / $460.42 / $460.42	Professional		$383.68	$460.42	$460.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,220.25 / $2,431.21 / $4,428.03	Facility		$1,220.25	$2,431.21	$4,428.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.90 / $806.21 / $1,088.38	Professional		$765.90	$806.21	$1,088.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $482.96 / $488.15 / $524.04	Facility		$482.96	$488.15	$524.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $644.97 / $644.97 / $644.97	Professional		$644.97	$644.97	$644.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $418.79	Facility		$418.79	$418.79	$418.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.79 / $418.79 / $934.50	Professional		$418.79	$418.79	$934.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $460.42 / $582.58 / $582.58	Facility		$460.42	$582.58	$582.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $434.32 / $582.58 / $846.52	Professional		$434.32	$582.58	$846.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $507.11 / $596.60 / $686.09	Professional		$507.11	$596.60	$686.09
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $278.63 / $385.41 / $557.26	Professional		$278.63	$385.41	$557.26