Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.31 / $733.31 / $733.31	Facility		$733.31	$733.31	$733.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.10 / $673.13 / $733.31	Professional		$488.10	$673.13	$733.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,352.21 / $3,352.21 / $4,389.78	Facility		$3,352.21	$3,352.21	$4,389.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $685.56 / $1,234.01	Professional		$66.79	$685.56	$1,234.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.42 / $554.03 / $713.02	Facility		$59.42	$554.03	$713.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.13 / $548.46 / $909.19	Professional		$73.13	$548.46	$909.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $763.12	Facility		$581.42	$581.42	$763.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.25 / $581.42 / $763.12	Professional		$561.25	$581.42	$763.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $449.00 / $733.31 / $1,136.49	Professional		$449.00	$733.31	$1,136.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $347.97 / $561.25	Professional		$46.02	$347.97	$561.25
United Facility/Professional Professional Modifier Low / Median / High Price $326.68 / $482.72 / $683.26	Professional		$326.68	$482.72	$683.26