Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.19 / $472.19 / $472.19	Facility		$472.19	$472.19	$472.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.10 / $442.67 / $472.19	Professional		$314.10	$442.67	$472.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,157.21 / $2,157.21 / $2,824.92	Facility		$2,157.21	$2,157.21	$2,824.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $419.11 / $794.11	Professional		$42.99	$419.11	$794.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $357.28 / $476.38	Facility		$38.22	$357.28	$476.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $352.94 / $586.30	Professional		$47.06	$352.94	$586.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $376.09 / $376.09	Facility		$376.09	$376.09	$376.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.09 / $391.92 / $493.61	Professional		$376.09	$391.92	$493.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $296.20 / $472.19 / $732.89	Professional		$296.20	$472.19	$732.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $242.99 / $391.92	Professional		$32.14	$242.99	$391.92
United Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $350.36 / $511.21	Professional		$238.41	$350.36	$511.21