Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.68 / $925.68 / $925.68	Facility		$925.68	$925.68	$925.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.01 / $823.30 / $925.68	Professional		$555.01	$823.30	$925.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,510.96 / $4,681.27 / $6,130.22	Facility		$3,510.96	$4,681.27	$6,130.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $957.37 / $1,292.45	Professional		$93.28	$957.37	$1,292.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.83 / $76.08 / $703.23	Facility		$64.83	$76.08	$703.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $97.26 / $1,424.64	Professional		$97.26	$97.26	$1,424.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.73 / $746.73 / $746.73	Facility		$746.73	$746.73	$746.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $746.73 / $1,196.25	Professional		$85.92	$746.73	$1,196.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $553.49 / $850.99 / $1,215.70	Professional		$553.49	$850.99	$1,215.70
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 $377.75 / $466.85 / $654.22	Professional		$377.75	$466.85	$654.22