Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.92 / $907.92 / $907.92	Facility		$907.92	$907.92	$907.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.11 / $907.92 / $917.50	Professional		$622.11	$907.92	$917.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,486.43 / $4,486.43 / $5,875.06	Facility		$4,486.43	$4,486.43	$5,875.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $1,162.19 / $1,651.54	Professional		$89.40	$1,162.19	$1,651.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.88 / $85.02 / $820.72	Facility		$72.88	$85.02	$820.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $104.64 / $1,357.32	Professional		$93.21	$104.64	$1,357.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $251.69	Facility		$251.69	$251.69	$251.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $251.69 / $1,350.00	Professional		$88.13	$251.69	$1,350.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $913.65 / $1,165.09	Professional		$116.51	$913.65	$1,165.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $6.81 / $30.00	Professional		$5.11	$6.81	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.91 / $472.42 / $786.46	Professional		$323.91	$472.42	$786.46