Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $318.39 / $318.39	Facility		$318.39	$318.39	$318.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.62 / $318.39 / $326.20	Professional		$224.62	$318.39	$326.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,610.35 / $1,610.35 / $2,108.78	Facility		$1,610.35	$1,610.35	$2,108.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $329.33 / $592.79	Professional		$33.78	$329.33	$592.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $27.19 / $321.33	Facility		$27.18	$27.19	$321.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $33.46 / $490.08	Professional		$33.46	$33.46	$490.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $240.34 / $240.34	Facility		$240.34	$240.34	$240.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $240.34 / $327.19	Professional		$36.46	$240.34	$327.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $302.10 / $418.20	Professional		$41.82	$302.10	$418.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $274.44 / $274.44	Professional		$168.78	$274.44	$274.44
United Facility/Professional Professional Modifier Low / Median / High Price $163.36 / $208.08 / $325.66	Professional		$163.36	$208.08	$325.66