Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.68 / $837.68 / $837.68	Facility		$837.68	$837.68	$837.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.87 / $837.68 / $876.60	Professional		$590.87	$837.68	$876.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,177.09 / $4,236.13 / $5,547.30	Facility		$3,177.09	$4,236.13	$5,547.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $823.01 / $1,559.40	Professional		$84.41	$823.01	$1,559.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.76 / $71.51 / $690.24	Facility		$61.76	$71.51	$690.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.01 / $88.01 / $1,289.16	Professional		$88.01	$88.01	$1,289.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $865.18 / $1,354.69	Professional		$75.52	$865.18	$1,354.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $137.51 / $771.44 / $1,100.09	Professional		$137.51	$771.44	$1,100.09
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 $339.41 / $422.38 / $706.01	Professional		$339.41	$422.38	$706.01