Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.34 / $828.34 / $828.34	Facility		$828.34	$828.34	$828.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.40 / $828.34 / $1,344.54	Professional		$559.40	$828.34	$1,344.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,203.39 / $2,937.84 / $3,847.15	Facility		$2,203.39	$2,937.84	$3,847.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $761.04 / $1,081.47	Professional		$58.54	$761.04	$1,081.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.88 / $112.55 / $1,125.57	Facility		$111.88	$112.55	$1,125.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $162.69 / $2,560.48	Professional		$162.69	$162.69	$2,560.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $360.90 / $360.90	Facility		$360.90	$360.90	$360.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $360.90 / $1,542.19	Professional		$360.90	$360.90	$1,542.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $653.92 / $927.63	Professional		$96.83	$653.92	$927.63
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 $513.73 / $716.45 / $1,086.50	Professional		$513.73	$716.45	$1,086.50