Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.62 / $476.62 / $476.62	Facility		$476.62	$476.62	$476.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.19 / $476.62 / $498.72	Professional		$336.19	$476.62	$498.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,295.46 / $2,295.46 / $3,005.97	Facility		$2,295.46	$2,295.46	$3,005.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $594.63 / $845.01	Professional		$48.15	$594.63	$845.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.68 / $392.70 / $480.95	Facility		$40.68	$392.70	$480.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $375.56 / $500.74	Professional		$50.07	$375.56	$500.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.90 / $353.90 / $353.90	Facility		$353.90	$353.90	$353.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.11 / $309.11 / $725.63	Professional		$309.11	$309.11	$725.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $452.32 / $625.92	Professional		$45.23	$452.32	$625.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $191.64 / $309.11	Professional		$25.35	$191.64	$309.11
United Facility/Professional Professional Modifier Low / Median / High Price $207.83 / $288.70 / $420.96	Professional		$207.83	$288.70	$420.96