Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.32 / $950.32 / $950.32	Facility		$950.32	$950.32	$950.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.79 / $950.32 / $994.40	Professional		$569.79	$950.32	$994.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,604.52 / $4,806.03 / $6,293.59	Facility		$3,604.52	$4,806.03	$6,293.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.77 / $982.88 / $1,769.19	Professional		$95.77	$982.88	$1,769.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $81.13 / $749.83	Facility		$66.56	$81.13	$749.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.85 / $99.85 / $1,462.56	Professional		$99.85	$99.85	$1,462.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.64 / $766.64 / $766.64	Facility		$766.64	$766.64	$766.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $1,037.70 / $1,537.50	Professional		$85.66	$1,037.70	$1,537.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.81 / $868.99 / $1,248.09	Professional		$124.81	$868.99	$1,248.09
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 $350.08 / $466.54 / $800.78	Professional		$350.08	$466.54	$800.78