Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.39 / $803.39 / $803.39	Facility		$803.39	$803.39	$803.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.55 / $803.39 / $1,304.05	Professional		$542.55	$803.39	$1,304.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $974.84 / $1,299.76 / $1,702.07	Facility		$974.84	$1,299.76	$1,702.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $336.70 / $478.47	Professional		$25.90	$336.70	$478.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.77 / $101.61 / $1,016.09	Facility		$85.77	$101.61	$1,016.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.34 / $143.34 / $2,535.67	Professional		$143.34	$143.34	$2,535.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,234.50 / $1,412.06 / $1,543.13	Professional		$1,234.50	$1,412.06	$1,543.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $803.39 / $1,064.75	Professional		$102.90	$803.39	$1,064.75
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 $469.60 / $704.39 / $1,173.99	Professional		$469.60	$704.39	$1,173.99