Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.21 / $383.21 / $383.21	Facility		$383.21	$383.21	$383.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.35 / $383.21 / $383.21	Professional		$319.35	$383.21	$383.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,015.64 / $2,023.56 / $3,685.57	Facility		$1,015.64	$2,023.56	$3,685.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.48 / $671.03 / $905.89	Professional		$637.48	$671.03	$905.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $425.70 / $436.17 / $438.48	Facility		$425.70	$436.17	$438.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $536.82 / $536.82 / $536.82	Professional		$536.82	$536.82	$536.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $434.07	Facility		$434.07	$434.07	$434.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.14 / $434.07 / $777.75	Professional		$339.14	$434.07	$777.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $383.21 / $484.90 / $484.90	Facility		$383.21	$484.90	$484.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $383.21 / $484.90 / $754.73	Professional		$383.21	$484.90	$754.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $422.07 / $496.56 / $571.04	Professional		$422.07	$496.56	$571.04
United Facility/Professional Professional Modifier Low / Median / High Price $249.20 / $320.79 / $480.25	Professional		$249.20	$320.79	$480.25