Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.03 / $436.03 / $436.03	Facility		$436.03	$436.03	$436.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.66 / $406.54 / $436.03	Professional		$292.66	$406.54	$436.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.94 / $2,009.94 / $2,632.05	Facility		$2,009.94	$2,009.94	$2,632.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $411.05 / $739.89	Professional		$42.16	$411.05	$739.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $322.85 / $415.47	Facility		$35.63	$322.85	$415.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $328.85 / $529.78	Professional		$43.85	$328.85	$529.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.55 / $353.55 / $464.03	Facility		$353.55	$353.55	$464.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.05 / $353.55 / $464.03	Professional		$327.05	$353.55	$464.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $228.93 / $436.03 / $662.23	Professional		$228.93	$436.03	$662.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $202.77 / $327.05	Professional		$26.82	$202.77	$327.05
United Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $298.61 / $398.14	Professional		$190.36	$298.61	$398.14