Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.30 / $786.30 / $786.30	Facility		$786.30	$786.30	$786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.91 / $786.30 / $786.30	Professional		$634.91	$786.30	$786.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,083.92 / $4,152.00 / $7,562.16	Facility		$2,083.92	$4,152.00	$7,562.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,308.00 / $1,376.84 / $1,858.73	Professional		$1,308.00	$1,376.84	$1,858.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $841.63 / $891.09 / $894.95	Facility		$841.63	$891.09	$894.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,101.47 / $1,101.47 / $1,101.47	Professional		$1,101.47	$1,101.47	$1,101.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.08 / $809.08 / $809.08	Facility		$809.08	$809.08	$809.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.08 / $809.08 / $1,596.00	Professional		$809.08	$809.08	$1,596.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $786.30 / $994.97 / $994.97	Facility		$786.30	$994.97	$994.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $786.30 / $994.97 / $1,643.24	Professional		$786.30	$994.97	$1,643.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.30 / $658.22 / $995.42	Professional		$538.30	$658.22	$995.42