Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.61 / $444.61 / $444.61	Facility		$444.61	$444.61	$444.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.62 / $444.61 / $547.33	Professional		$313.62	$444.61	$547.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,605.98 / $2,141.30 / $2,804.07	Facility		$1,605.98	$2,141.30	$2,804.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $437.92 / $788.25	Professional		$42.66	$437.92	$788.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $350.84 / $379.53	Facility		$38.57	$350.84	$379.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $399.93 / $781.09	Professional		$53.31	$399.93	$781.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Facility		$234.00	$234.00	$234.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $481.17 / $966.09	Professional		$234.00	$481.17	$966.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $421.96 / $583.89	Professional		$59.34	$421.96	$583.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $40.28 / $366.14	Professional		$30.02	$40.28	$366.14
United Facility/Professional Professional Modifier Low / Median / High Price $228.08 / $279.14 / $485.49	Professional		$228.08	$279.14	$485.49