Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.72 / $514.72 / $514.72	Facility		$514.72	$514.72	$514.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.05 / $514.72 / $561.00	Professional		$358.05	$514.72	$561.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $501.62 / $950.44	Professional		$66.88	$501.62	$950.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $44.40 / $392.79	Facility		$43.58	$44.40	$392.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.64 / $57.21 / $781.20	Professional		$53.64	$57.21	$781.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.88 / $450.88 / $450.88	Facility		$450.88	$450.88	$450.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $450.88 / $798.75	Professional		$53.68	$450.88	$798.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $329.94 / $670.50	Professional		$36.04	$329.94	$670.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $41.79 / $338.04 / $533.36	Facility		$41.79	$338.04	$533.36
United Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $335.72 / $557.46	Professional		$252.96	$335.72	$557.46