Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.68 / $411.68 / $411.68	Facility		$411.68	$411.68	$411.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.93 / $389.60 / $411.68	Professional		$276.93	$389.60	$411.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,996.95 / $1,996.95 / $2,615.05	Facility		$1,996.95	$1,996.95	$2,615.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $408.40 / $735.12	Professional		$51.73	$408.40	$735.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.65 / $40.43 / $452.81	Facility		$31.65	$40.43	$452.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $49.76 / $545.16	Professional		$41.49	$49.76	$545.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $327.62	Facility		$327.62	$327.62	$327.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $327.62 / $551.25	Professional		$38.27	$327.62	$551.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $411.68 / $518.60	Professional		$51.86	$411.68	$518.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $154.69 / $332.67	Professional		$27.27	$154.69	$332.67
United Facility/Professional Professional Modifier Low / Median / High Price $189.29 / $259.39 / $433.92	Professional		$189.29	$259.39	$433.92