Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.20 / $620.20 / $620.20	Facility		$620.20	$620.20	$620.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.64 / $620.20 / $668.57	Professional		$419.64	$620.20	$668.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,882.06 / $2,882.06 / $3,774.11	Facility		$2,882.06	$2,882.06	$3,774.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $589.41 / $1,060.94	Professional		$57.43	$589.41	$1,060.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $382.54 / $510.07	Facility		$51.00	$382.54	$510.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $471.53 / $738.56	Professional		$62.87	$471.53	$738.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.96 / $647.96 / $647.96	Facility		$647.96	$647.96	$647.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.27 / $647.96 / $889.50	Professional		$630.27	$647.96	$889.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $620.20 / $923.20	Professional		$66.70	$620.20	$923.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.42 / $425.83 / $631.95	Professional		$295.42	$425.83	$631.95