Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.28 / $907.28 / $907.28	Facility		$907.28	$907.28	$907.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.18 / $907.28 / $1,092.09	Professional		$736.18	$907.28	$1,092.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,441.06 / $4,588.09 / $6,008.19	Facility		$3,441.06	$4,588.09	$6,008.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $1,188.53 / $1,688.96	Professional		$91.43	$1,188.53	$1,688.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $89.09 / $859.96	Facility		$86.00	$89.09	$859.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $1,606.20	Professional		$109.65	$109.65	$1,606.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.59 / $359.59 / $359.59	Facility		$359.59	$359.59	$359.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $990.70 / $1,687.50	Professional		$94.09	$990.70	$1,687.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $739.39 / $1,191.50	Professional		$73.94	$739.39	$1,191.50
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 $443.54 / $512.50 / $792.32	Professional		$443.54	$512.50	$792.32