Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.32 / $482.32 / $482.32	Facility		$482.32	$482.32	$482.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.93 / $416.33 / $482.32	Professional		$259.93	$416.33	$482.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $1,841.05 / $2,454.69	Facility		$144.19	$1,841.05	$2,454.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $383.36 / $690.04	Professional		$37.35	$383.36	$690.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.64 / $71.73 / $717.25	Facility		$31.64	$71.73	$717.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $38.94 / $584.16	Professional		$38.94	$38.94	$584.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $329.00	Facility		$329.00	$329.00	$329.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $390.40 / $528.75	Professional		$41.42	$390.40	$528.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $340.76 / $486.80	Professional		$48.68	$340.76	$486.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $303.46 / $476.02	Professional		$39.03	$303.46	$476.02
United Facility/Professional Professional Modifier Low / Median / High Price $174.13 / $266.33 / $476.18	Professional		$174.13	$266.33	$476.18