Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.56 / $380.56 / $380.56	Facility		$380.56	$380.56	$380.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.86 / $380.56 / $387.10	Professional		$261.86	$380.56	$387.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,888.37 / $1,888.37 / $2,472.85	Facility		$1,888.37	$1,888.37	$2,472.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $69.51 / $521.36	Professional		$48.92	$69.51	$521.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $35.22 / $394.42	Facility		$29.57	$35.22	$394.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $43.36 / $564.48	Professional		$39.22	$43.36	$564.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $332.93	Facility		$332.93	$332.93	$332.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $332.93 / $525.00	Professional		$35.75	$332.93	$525.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $380.56 / $490.40	Professional		$49.04	$380.56	$490.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $134.73 / $289.75	Professional		$23.76	$134.73	$289.75
United Facility/Professional Professional Modifier Low / Median / High Price $176.91 / $283.45 / $449.94	Professional		$176.91	$283.45	$449.94