Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.72 / $852.72 / $852.72	Facility		$852.72	$852.72	$852.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.28 / $852.72 / $892.30	Professional		$511.28	$852.72	$892.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,233.97 / $4,311.97 / $5,646.61	Facility		$3,233.97	$4,311.97	$5,646.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $881.84 / $1,587.32	Professional		$90.45	$881.84	$1,587.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.72 / $61.87 / $597.21	Facility		$59.72	$61.87	$597.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $89.58 / $1,312.32	Professional		$89.58	$89.58	$1,312.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.90 / $687.90 / $687.90	Facility		$687.90	$687.90	$687.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $687.90 / $1,188.75	Professional		$76.87	$687.90	$1,188.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $604.22 / $1,119.80	Professional		$60.42	$604.22	$1,119.80
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 $345.58 / $424.36 / $624.14	Professional		$345.58	$424.36	$624.14