Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.70 / $342.70 / $342.70	Facility		$342.70	$342.70	$342.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.67 / $338.29 / $342.70	Professional		$225.67	$338.29	$342.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.87 / $1,549.87 / $2,029.59	Facility		$1,549.87	$1,549.87	$2,029.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $401.49 / $570.54	Professional		$30.88	$401.49	$570.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $265.52 / $354.05	Facility		$27.47	$265.52	$354.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $253.58 / $435.75	Professional		$33.81	$253.58	$435.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $277.51 / $371.51	Facility		$277.51	$277.51	$371.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $291.29 / $371.51	Professional		$277.51	$291.29	$371.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $342.70 / $528.27	Professional		$178.20	$342.70	$528.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $180.59 / $291.29	Professional		$23.87	$180.59	$291.29
United Facility/Professional Professional Modifier Low / Median / High Price $179.98 / $260.39 / $434.22	Professional		$179.98	$260.39	$434.22