Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.80 / $754.80 / $754.80	Facility		$754.80	$754.80	$754.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.02 / $754.80 / $903.40	Professional		$609.02	$754.80	$903.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,862.58 / $3,816.78 / $4,998.14	Facility		$2,862.58	$3,816.78	$4,998.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $988.72 / $1,405.03	Professional		$76.06	$988.72	$1,405.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $71.13 / $711.33	Facility		$62.65	$71.13	$711.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $90.71 / $1,328.76	Professional		$90.71	$90.71	$1,328.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.20 / $428.20 / $428.20	Facility		$428.20	$428.20	$428.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $428.20 / $1,117.50	Professional		$77.83	$428.20	$1,117.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $647.54 / $991.20	Professional		$99.12	$647.54	$991.20
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 $352.31 / $423.95 / $655.41	Professional		$352.31	$423.95	$655.41