Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.36 / $669.36 / $669.36	Facility		$669.36	$669.36	$669.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.45 / $669.36 / $823.90	Professional		$555.45	$669.36	$823.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,538.54 / $3,384.73 / $4,432.38	Facility		$2,538.54	$3,384.73	$4,432.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $876.80 / $1,245.98	Professional		$71.00	$876.80	$1,245.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.14 / $67.22 / $648.78	Facility		$57.14	$67.22	$648.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $78.53 / $1,150.32	Professional		$78.53	$78.53	$1,150.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.72 / $422.72 / $422.72	Facility		$422.72	$422.72	$422.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $724.40 / $1,326.56	Professional		$72.20	$724.40	$1,326.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $516.96 / $669.36 / $879.00	Professional		$516.96	$669.36	$879.00
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 $321.20 / $416.75 / $674.72	Professional		$321.20	$416.75	$674.72