Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.16 / $298.16 / $298.16	Facility		$298.16	$298.16	$298.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.92 / $298.16 / $312.00	Professional		$205.92	$298.16	$312.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,130.96 / $1,507.92 / $1,974.65	Facility		$1,130.96	$1,507.92	$1,974.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $390.62 / $555.09	Professional		$31.63	$390.62	$555.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $215.09 / $235.26	Facility		$25.45	$215.09	$235.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $26.63 / $390.00	Professional		$26.63	$26.63	$390.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $240.50	Facility		$240.50	$240.50	$240.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $240.50 / $325.60	Professional		$26.88	$240.50	$325.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $211.11 / $391.60	Professional		$21.11	$211.11	$391.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $30.00 / $247.47	Professional		$20.28	$30.00	$247.47
United Facility/Professional Professional Modifier Low / Median / High Price $121.58 / $146.40 / $255.38	Professional		$121.58	$146.40	$255.38