Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.95 / $336.95 / $336.95	Facility		$336.95	$336.95	$336.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.24 / $316.39 / $336.95	Professional		$227.24	$316.39	$336.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,560.66 / $1,560.66 / $2,043.71	Facility		$1,560.66	$1,560.66	$2,043.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $404.28 / $574.51	Professional		$32.74	$404.28	$574.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $246.50 / $328.70	Facility		$27.66	$246.50	$328.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $255.34 / $404.55	Professional		$34.04	$255.34	$404.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $265.97 / $265.97	Facility		$265.97	$265.97	$265.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.97 / $270.43 / $452.63	Professional		$265.97	$270.43	$452.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $336.95 / $505.69	Professional		$36.54	$336.95	$505.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $167.66 / $270.43	Professional		$22.17	$167.66	$270.43
United Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $241.76 / $352.74	Professional		$168.10	$241.76	$352.74