Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.84 / $867.84 / $867.84	Facility		$867.84	$867.84	$867.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.15 / $778.50 / $867.84	Professional		$612.15	$778.50	$867.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,291.48 / $4,388.62 / $5,746.98	Facility		$3,291.48	$4,388.62	$5,746.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.52 / $1,196.69 / $1,615.53	Professional		$897.52	$1,196.69	$1,615.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.29 / $74.08 / $867.85	Facility		$64.29	$74.08	$867.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $81.98 / $1,200.83	Professional		$81.98	$81.98	$1,200.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $134.00 / $134.00	Facility		$134.00	$134.00	$134.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $134.00 / $1,241.25	Professional		$78.23	$134.00	$1,241.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $748.50 / $1,139.70	Professional		$113.97	$748.50	$1,139.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.58 / $437.56 / $635.03	Professional		$351.58	$437.56	$635.03