Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.92 / $571.92 / $571.92	Facility		$571.92	$571.92	$571.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.43 / $571.92 / $598.46	Professional		$403.43	$571.92	$598.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.51 / $2,754.51 / $3,607.08	Facility		$2,754.51	$2,754.51	$3,607.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $563.33 / $1,013.99	Professional		$57.78	$563.33	$1,013.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.82 / $471.24 / $577.12	Facility		$48.82	$471.24	$577.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $450.68 / $600.88	Professional		$60.08	$450.68	$600.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.38 / $461.38 / $461.38	Facility		$461.38	$461.38	$461.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.93 / $461.38 / $870.75	Professional		$370.93	$461.38	$870.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $370.93 / $571.92 / $751.10	Professional		$370.93	$571.92	$751.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $229.97 / $370.93	Professional		$30.42	$229.97	$370.93
United Facility/Professional Professional Modifier Low / Median / High Price $249.39 / $352.72 / $499.81	Professional		$249.39	$352.72	$499.81