Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.28 / $595.28 / $595.28	Facility		$595.28	$595.28	$595.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.65 / $595.28 / $595.28	Professional		$381.65	$595.28	$595.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.81 / $1,438.52 / $3,434.54	Facility		$142.81	$1,438.52	$3,434.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $77.94 / $1,013.09	Professional		$54.84	$77.94	$1,013.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.46 / $50.90 / $602.76	Facility		$46.46	$50.90	$602.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $57.18 / $857.64	Professional		$57.18	$57.18	$857.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $255.74	Facility		$255.74	$255.74	$255.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $255.74 / $736.14	Professional		$56.76	$255.74	$736.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $541.37 / $595.28	Facility		$54.14	$541.37	$595.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $541.37 / $714.70	Professional		$54.14	$541.37	$714.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $80.97 / $736.14	Professional		$58.88	$80.97	$736.14
United Facility/Professional Professional Modifier Low / Median / High Price $245.09 / $327.67 / $524.02	Professional		$245.09	$327.67	$524.02