Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.40 / $445.40 / $445.40	Facility		$445.40	$445.40	$445.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.13 / $419.60 / $445.40	Professional		$296.13	$419.60	$445.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,033.77 / $2,033.77 / $2,663.27	Facility		$2,033.77	$2,033.77	$2,663.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $415.93 / $561.51	Professional		$40.53	$415.93	$561.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $337.43 / $449.90	Facility		$36.04	$337.43	$449.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $332.74 / $553.72	Professional		$44.37	$332.74	$553.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.55 / $354.55 / $465.35	Facility		$354.55	$354.55	$465.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $370.15 / $465.35	Professional		$354.55	$370.15	$465.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $444.76 / $692.15	Professional		$50.02	$444.76	$692.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $229.49 / $370.15	Professional		$30.34	$229.49	$370.15
United Facility/Professional Professional Modifier Low / Median / High Price $226.97 / $341.09 / $482.80	Professional		$226.97	$341.09	$482.80