Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.25 / $381.25 / $381.25	Facility		$381.25	$381.25	$381.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.92 / $381.25 / $398.94	Professional		$268.92	$381.25	$398.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,836.14 / $1,836.14 / $2,404.46	Facility		$1,836.14	$1,836.14	$2,404.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $356.73 / $675.92	Professional		$38.51	$356.73	$675.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.56 / $314.13 / $384.72	Facility		$32.56	$314.13	$384.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $300.45 / $400.54	Professional		$40.07	$300.45	$400.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Facility		$307.55	$307.55	$307.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.27 / $307.55 / $580.50	Professional		$247.27	$307.55	$580.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $222.54 / $361.82 / $500.68	Professional		$222.54	$361.82	$500.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $153.30 / $247.27	Professional		$20.27	$153.30	$247.27
United Facility/Professional Professional Modifier Low / Median / High Price $166.24 / $230.95 / $333.18	Professional		$166.24	$230.95	$333.18