Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.58 / $318.58 / $318.58	Facility		$318.58	$318.58	$318.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.16 / $318.58 / $517.13	Professional		$215.16	$318.58	$517.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.74 / $1,108.99 / $1,452.25	Facility		$831.74	$1,108.99	$1,452.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $287.27 / $408.24	Professional		$23.26	$287.27	$408.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $48.54 / $485.38	Facility		$38.71	$48.54	$485.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $56.18 / $983.77	Professional		$56.18	$56.18	$983.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.25 / $552.52 / $614.05	Professional		$491.25	$552.52	$614.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $187.90 / $356.78	Professional		$42.24	$187.90	$356.78
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 $232.78 / $279.33 / $417.88	Professional		$232.78	$279.33	$417.88