Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.64 / $388.64 / $388.64	Facility		$388.64	$388.64	$388.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.12 / $388.64 / $406.60	Professional		$274.12	$388.64	$406.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,474.03 / $1,965.38 / $2,573.69	Facility		$1,474.03	$1,965.38	$2,573.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $509.12 / $723.49	Professional		$39.15	$509.12	$723.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $256.33 / $280.31	Facility		$33.18	$256.33	$280.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $40.83 / $598.08	Professional		$40.83	$40.83	$598.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $172.77	Facility		$172.77	$172.77	$172.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $172.77 / $399.30	Professional		$37.86	$172.77	$399.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $368.68 / $510.40	Professional		$63.80	$368.68	$510.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $35.48 / $322.49	Professional		$26.45	$35.48	$322.49
United Facility/Professional Professional Modifier Low / Median / High Price $172.30 / $235.33 / $365.14	Professional		$172.30	$235.33	$365.14