Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.15 / $385.15 / $385.15	Facility		$385.15	$385.15	$385.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.11 / $334.69 / $385.15	Professional		$245.11	$334.69	$385.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,683.36 / $1,683.36 / $2,204.40	Facility		$1,683.36	$1,683.36	$2,204.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $436.07 / $619.67	Professional		$33.54	$436.07	$619.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.26 / $298.36 / $428.70	Facility		$30.26	$298.36	$428.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $275.42 / $527.63	Professional		$36.72	$275.42	$527.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $400.87	Facility		$299.44	$299.44	$400.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $352.71 / $425.75	Professional		$299.44	$352.71	$425.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $368.13 / $619.61	Professional		$47.66	$368.13	$619.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $218.68 / $352.71	Professional		$28.92	$218.68	$352.71
United Facility/Professional Professional Modifier Low / Median / High Price $196.07 / $345.05 / $547.70	Professional		$196.07	$345.05	$547.70