Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.04 / $721.04 / $721.04	Facility		$721.04	$721.04	$721.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.57 / $721.04 / $754.60	Professional		$477.57	$721.04	$754.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,734.67 / $3,646.21 / $4,774.79	Facility		$2,734.67	$3,646.21	$4,774.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $745.69 / $1,006.68	Professional		$72.66	$745.69	$1,006.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.32 / $57.79 / $557.79	Facility		$52.32	$57.79	$557.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $64.39 / $943.20	Professional		$64.39	$64.39	$943.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $520.59 / $1,335.94	Professional		$65.00	$520.59	$1,335.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $510.94 / $946.90	Professional		$51.09	$510.94	$946.90
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 $294.25 / $354.01 / $527.52	Professional		$294.25	$354.01	$527.52