Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.46 / $573.46 / $573.46	Facility		$573.46	$573.46	$573.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.28 / $573.46 / $930.84	Professional		$387.28	$573.46	$930.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.14 / $2,264.19 / $2,965.00	Facility		$1,698.14	$2,264.19	$2,965.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $463.05 / $833.49	Professional		$45.12	$463.05	$833.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $84.06 / $840.53	Facility		$66.51	$84.06	$840.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.64 / $125.64 / $1,251.35	Professional		$125.64	$125.64	$1,251.35
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 / $887.00	Professional		$179.00	$200.00	$887.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.33 / $452.72 / $642.20	Professional		$75.33	$452.72	$642.20
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 $355.42 / $502.80 / $752.19	Professional		$355.42	$502.80	$752.19