Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.87 / $458.87 / $458.87	Facility		$458.87	$458.87	$458.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.89 / $458.87 / $744.83	Professional		$309.89	$458.87	$744.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,732.80 / $2,310.40 / $3,025.51	Facility		$1,732.80	$2,310.40	$3,025.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $472.50 / $850.50	Professional		$46.04	$472.50	$850.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.27 / $65.25 / $652.49	Facility		$51.27	$65.25	$652.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $81.54 / $1,078.21	Professional		$81.54	$81.54	$1,078.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $774.98	Professional		$128.00	$128.00	$774.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $362.26 / $522.45	Professional		$61.19	$362.26	$522.45
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 $335.27 / $402.32 / $601.89	Professional		$335.27	$402.32	$601.89