Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $501.14	Facility		$501.14	$501.14	$501.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.62 / $501.14 / $501.14	Professional		$417.62	$501.14	$501.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,328.19 / $2,646.28 / $4,819.75	Facility		$1,328.19	$2,646.28	$4,819.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $833.65 / $877.53 / $1,184.67	Professional		$833.65	$877.53	$1,184.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $556.74 / $570.39 / $573.49	Facility		$556.74	$570.39	$573.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $702.02 / $702.02 / $702.02	Professional		$702.02	$702.02	$702.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $624.54	Facility		$624.54	$624.54	$624.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $624.54 / $1,017.38	Professional		$455.91	$624.54	$1,017.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $634.13 / $634.13	Facility		$501.14	$634.13	$634.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $501.14 / $634.13 / $986.99	Professional		$501.14	$634.13	$986.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $551.96 / $649.37 / $746.77	Professional		$551.96	$649.37	$746.77
United Facility/Professional Professional Modifier Low / Median / High Price $325.92 / $419.51 / $620.19	Professional		$325.92	$419.51	$620.19