Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.96 / $626.96 / $626.96	Facility		$626.96	$626.96	$626.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.54 / $556.58 / $626.96	Professional		$271.54	$556.58	$626.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.62 / $1,923.12 / $2,564.15	Facility		$150.62	$1,923.12	$2,564.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.43 / $507.23 / $720.81	Professional		$380.43	$507.23	$720.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $99.57 / $995.72	Facility		$33.04	$99.57	$995.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $40.68 / $610.20	Professional		$40.68	$40.68	$610.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $654.75 / $654.75	Facility		$654.00	$654.75	$654.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $654.75 / $1,001.09	Professional		$49.75	$654.75	$1,001.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $406.80 / $783.70	Professional		$26.51	$406.80	$783.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $638.19 / $1,001.09	Professional		$82.09	$638.19	$1,001.09
United Facility/Professional Professional Modifier Low / Median / High Price $326.43 / $434.84 / $662.97	Professional		$326.43	$434.84	$662.97