Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.12 / $383.12 / $383.12	Facility		$383.12	$383.12	$383.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.24 / $383.12 / $471.64	Professional		$270.24	$383.12	$471.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,383.89 / $1,845.17 / $2,416.28	Facility		$1,383.89	$1,845.17	$2,416.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $477.98 / $679.24	Professional		$36.77	$477.98	$679.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $288.56 / $384.75	Facility		$33.46	$288.56	$384.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $355.15 / $693.67	Professional		$48.45	$355.15	$693.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $292.50 / $292.50	Facility		$292.50	$292.50	$292.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $292.50 / $439.28	Professional		$292.50	$292.50	$439.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $363.59 / $503.14	Professional		$51.48	$363.59	$503.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $34.99 / $318.04	Professional		$26.08	$34.99	$318.04
United Facility/Professional Professional Modifier Low / Median / High Price $196.54 / $240.53 / $393.90	Professional		$196.54	$240.53	$393.90