Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.32 / $605.32 / $605.32	Facility		$605.32	$605.32	$605.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.79 / $605.32 / $982.55	Professional		$408.79	$605.32	$982.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,219.89 / $1,626.52 / $2,129.96	Facility		$1,219.89	$1,626.52	$2,129.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.01 / $421.34 / $598.75	Professional		$316.01	$421.34	$598.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.55 / $79.73 / $797.41	Facility		$70.55	$79.73	$797.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.77 / $111.77 / $1,353.67	Professional		$111.77	$111.77	$1,353.67
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 $359.59 / $359.59 / $1,063.74	Professional		$359.59	$359.59	$1,063.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $605.32 / $802.24	Professional		$80.22	$605.32	$802.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.17 / $530.74 / $793.98	Professional		$375.17	$530.74	$793.98