Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.84 / $419.84 / $419.84	Facility		$419.84	$419.84	$419.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.39 / $419.84 / $438.82	Professional		$292.39	$419.84	$438.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,008.18 / $2,008.18 / $2,629.75	Facility		$2,008.18	$2,008.18	$2,629.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $520.21 / $739.25	Professional		$42.12	$520.21	$739.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.59 / $282.05 / $376.10	Facility		$35.59	$282.05	$376.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $328.55 / $462.90	Professional		$43.81	$328.55	$462.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.16 / $347.16 / $455.65	Facility		$347.16	$347.16	$455.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.16 / $357.57 / $641.25	Professional		$347.16	$357.57	$641.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $254.12 / $418.15 / $578.62	Professional		$254.12	$418.15	$578.62
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 Professional Modifier Low / Median / High Price $191.42 / $271.73 / $414.13	Professional		$191.42	$271.73	$414.13