Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.86 / $640.86 / $640.86	Facility		$640.86	$640.86	$640.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.05 / $640.86 / $659.47	Professional		$452.05	$640.86	$659.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,086.47 / $3,086.47 / $4,041.80	Facility		$3,086.47	$3,086.47	$4,041.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $799.54 / $1,136.19	Professional		$64.73	$799.54	$1,136.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.70 / $462.25 / $547.04	Facility		$54.70	$462.25	$547.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $504.98 / $673.30	Professional		$67.33	$504.98	$673.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $516.79 / $516.79	Facility		$516.79	$516.79	$516.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.05 / $516.79 / $736.20	Professional		$482.05	$516.79	$736.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $385.64 / $607.98 / $841.62	Professional		$385.64	$607.98	$841.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $53.02 / $482.05	Professional		$39.52	$53.02	$482.05
United Facility/Professional Professional Modifier Low / Median / High Price $328.76 / $440.14 / $654.98	Professional		$328.76	$440.14	$654.98