Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.84 / $713.84 / $713.84	Facility		$713.84	$713.84	$713.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.41 / $713.84 / $878.80	Professional		$592.41	$713.84	$878.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,707.79 / $3,610.38 / $4,727.87	Facility		$2,707.79	$3,610.38	$4,727.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $935.26 / $1,329.05	Professional		$71.94	$935.26	$1,329.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.94 / $69.20 / $691.98	Facility		$60.94	$69.20	$691.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $75.06 / $1,099.44	Professional		$75.06	$75.06	$1,099.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $772.60 / $1,542.19	Professional		$75.70	$772.60	$1,542.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $502.19 / $937.60	Professional		$50.22	$502.19	$937.60
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 $342.70 / $412.26 / $718.40	Professional		$342.70	$412.26	$718.40