Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.24 / $658.24 / $658.24	Facility		$658.24	$658.24	$658.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.10 / $658.24 / $695.80	Professional		$469.10	$658.24	$695.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,496.69 / $3,328.92 / $4,359.28	Facility		$2,496.69	$3,328.92	$4,359.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $862.34 / $1,225.44	Professional		$66.34	$862.34	$1,225.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $56.77 / $697.70	Facility		$51.68	$56.77	$697.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $67.81 / $993.36	Professional		$67.81	$67.81	$993.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $232.12	Facility		$232.12	$232.12	$232.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $232.12 / $911.25	Professional		$59.95	$232.12	$911.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $463.06 / $864.50	Professional		$86.45	$463.06	$864.50
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 $271.25 / $326.48 / $568.76	Professional		$271.25	$326.48	$568.76