Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.55 / $451.55 / $451.55	Facility		$451.55	$451.55	$451.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.61 / $451.55 / $461.54	Professional		$308.61	$451.55	$461.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,119.48 / $2,119.48 / $2,775.50	Facility		$2,119.48	$2,119.48	$2,775.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $433.46 / $780.22	Professional		$44.46	$433.46	$780.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $319.35 / $425.78	Facility		$37.56	$319.35	$425.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $346.76 / $524.03	Professional		$46.23	$346.76	$524.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.71 / $358.71 / $358.71	Facility		$358.71	$358.71	$358.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.29 / $358.71 / $470.91	Professional		$350.29	$358.71	$470.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $301.52 / $457.50 / $655.04	Professional		$301.52	$457.50	$655.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $38.54 / $350.29	Professional		$28.73	$38.54	$350.29
United Facility/Professional Facility Modifier Low / Median / High Price $32.95 / $269.19 / $427.53	Facility		$32.95	$269.19	$427.53
United Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $342.34 / $456.90	Professional		$218.46	$342.34	$456.90