Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.80 / $466.80 / $466.80	Facility		$466.80	$466.80	$466.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.11 / $466.80 / $467.10	Professional		$325.11	$466.80	$467.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $2,344.69 / $3,070.41	Facility		$2,344.69	$2,344.69	$3,070.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $479.51 / $863.12	Professional		$63.94	$479.51	$863.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.58 / $41.81 / $469.73	Facility		$39.58	$41.81	$469.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $51.46 / $709.32	Professional		$48.71	$51.46	$709.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $423.43	Facility		$283.73	$283.73	$423.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $343.91 / $503.34	Professional		$283.73	$343.91	$503.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $250.91 / $464.74 / $608.90	Professional		$250.91	$464.74	$608.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $211.50 / $343.91 / $343.91	Professional		$211.50	$343.91	$343.91
United Facility/Professional Professional Modifier Low / Median / High Price $236.44 / $336.43 / $526.40	Professional		$236.44	$336.43	$526.40