Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.32 / $658.32 / $658.32	Facility		$658.32	$658.32	$658.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.21 / $652.90 / $658.32	Professional		$436.21	$652.90	$658.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,145.63 / $3,145.63 / $4,119.26	Facility		$3,145.63	$3,145.63	$4,119.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $643.30 / $1,157.96	Professional		$81.48	$643.30	$1,157.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $67.03 / $750.84	Facility		$53.10	$67.03	$750.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $82.50 / $866.28	Professional		$65.34	$82.50	$866.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $407.96	Facility		$407.96	$407.96	$407.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.96 / $407.96 / $665.60	Professional		$407.96	$407.96	$665.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $405.84 / $719.41 / $816.90	Professional		$405.84	$719.41	$816.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $339.25 / $551.63 / $551.63	Professional		$339.25	$551.63	$551.63
United Facility/Professional Professional Modifier Low / Median / High Price $301.52 / $479.07 / $719.51	Professional		$301.52	$479.07	$719.51