Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.41 / $367.41 / $367.41	Facility		$367.41	$367.41	$367.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.61 / $367.20 / $367.41	Professional		$255.61	$367.20	$367.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.03 / $1,316.60 / $2,298.81	Facility		$135.03	$1,316.60	$2,298.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $359.01 / $646.22	Professional		$36.82	$359.01	$646.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.12 / $247.61 / $369.75	Facility		$31.12	$247.61	$369.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $287.20 / $406.33	Professional		$38.29	$287.20	$406.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $333.25	Facility		$333.25	$333.25	$333.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $335.76 / $555.00	Professional		$333.25	$335.76	$555.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $255.61 / $367.05 / $507.91	Professional		$255.61	$367.05	$507.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $6.81 / $30.00	Professional		$6.81	$6.81	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $258.77 / $398.11	Professional		$185.90	$258.77	$398.11