Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.73 / $490.73 / $490.73	Facility		$490.73	$490.73	$490.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.41 / $490.73 / $796.54	Professional		$331.41	$490.73	$796.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,361.49 / $1,815.31 / $2,377.19	Facility		$1,361.49	$1,815.31	$2,377.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $352.69 / $668.25	Professional		$36.18	$352.69	$668.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.23 / $62.95 / $629.42	Facility		$54.23	$62.95	$629.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.60 / $95.60 / $1,045.64	Professional		$95.60	$95.60	$1,045.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $200.00 / $862.34	Professional		$179.00	$200.00	$862.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $387.41 / $549.54	Professional		$58.42	$387.41	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.73 / $430.26 / $784.85	Professional		$325.73	$430.26	$784.85