Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.44 / $453.44 / $453.44	Facility		$453.44	$453.44	$453.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.81 / $449.70 / $453.44	Professional		$350.81	$449.70	$453.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,719.82 / $2,293.09 / $3,002.84	Facility		$1,719.82	$2,293.09	$3,002.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $468.96 / $844.13	Professional		$45.70	$468.96	$844.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.68 / $42.93 / $416.51	Facility		$36.68	$42.93	$416.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $45.14 / $661.32	Professional		$45.14	$45.14	$661.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.81 / $407.81 / $407.81	Facility		$407.81	$407.81	$407.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $407.81 / $652.50	Professional		$47.24	$407.81	$652.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.55 / $433.80 / $595.50	Professional		$59.55	$433.80	$595.50
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 $204.80 / $248.23 / $425.98	Professional		$204.80	$248.23	$425.98