Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.31 / $876.31 / $876.31	Facility		$876.31	$876.31	$876.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.72 / $876.31 / $876.31	Professional		$717.72	$876.31	$876.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,322.46 / $4,627.26 / $8,427.76	Facility		$2,322.46	$4,627.26	$8,427.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,457.72 / $1,534.44 / $2,071.48	Professional		$1,457.72	$1,534.44	$2,071.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $951.38 / $976.00 / $997.39	Facility		$951.38	$976.00	$997.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,227.55 / $1,227.55 / $1,227.55	Professional		$1,227.55	$1,227.55	$1,227.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $843.35	Facility		$843.35	$843.35	$843.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.35 / $843.35 / $1,779.00	Professional		$843.35	$843.35	$1,779.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $876.31 / $1,108.86 / $1,108.86	Facility		$876.31	$1,108.86	$1,108.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $876.31 / $1,108.86 / $1,725.87	Professional		$876.31	$1,108.86	$1,725.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.61 / $1,799.54 / $1,799.54	Facility		$1,529.61	$1,799.54	$1,799.54
United Facility/Professional Professional Modifier Low / Median / High Price $561.11 / $733.57 / $1,122.22	Professional		$561.11	$733.57	$1,122.22