Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.11 / $417.11 / $417.11	Facility		$417.11	$417.11	$417.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.52 / $385.46 / $417.11	Professional		$273.52	$385.46	$417.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,878.46 / $1,878.46 / $2,459.89	Facility		$1,878.46	$1,878.46	$2,459.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $486.61 / $691.50	Professional		$39.40	$486.61	$691.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $326.27 / $419.94	Facility		$33.78	$326.27	$419.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $307.33 / $535.46	Professional		$40.98	$307.33	$535.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $440.85	Facility		$333.25	$333.25	$440.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.55 / $333.25 / $440.85	Professional		$330.55	$333.25	$440.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $411.13 / $640.27	Professional		$48.37	$411.13	$640.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $204.94 / $330.55	Professional		$27.10	$204.94	$330.55
United Facility/Professional Professional Modifier Low / Median / High Price $192.21 / $263.10 / $402.40	Professional		$192.21	$263.10	$402.40