Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.59 / $762.59 / $762.59	Facility		$762.59	$762.59	$762.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.91 / $762.59 / $797.96	Professional		$537.91	$762.59	$797.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,672.76 / $3,672.76 / $4,809.56	Facility		$3,672.76	$3,672.76	$4,809.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $751.12 / $1,352.01	Professional		$73.19	$751.12	$1,352.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $628.32 / $769.52	Facility		$65.09	$628.32	$769.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $600.88 / $801.19	Professional		$80.11	$600.88	$801.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.17 / $615.17 / $615.17	Facility		$615.17	$615.17	$615.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.59 / $615.17 / $832.73	Professional		$494.59	$615.17	$832.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.14 / $723.72 / $1,001.49	Professional		$100.14	$723.72	$1,001.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.55 / $306.64 / $494.59	Professional		$40.55	$306.64	$494.59
United Facility/Professional Professional Modifier Low / Median / High Price $332.53 / $461.95 / $716.78	Professional		$332.53	$461.95	$716.78