Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.96 / $750.96 / $750.96	Facility		$750.96	$750.96	$750.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.96 / $650.03 / $750.96	Professional		$399.96	$650.03	$750.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.87 / $2,832.65 / $3,776.85	Facility		$221.87	$2,832.65	$3,776.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $589.84 / $1,061.71	Professional		$57.47	$589.84	$1,061.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $97.75 / $977.55	Facility		$48.69	$97.75	$977.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $59.92 / $898.80	Professional		$59.92	$59.92	$898.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $612.00 / $697.70	Facility		$612.00	$612.00	$697.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $612.00 / $722.45	Professional		$69.77	$612.00	$722.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $377.37 / $527.66 / $750.96	Professional		$377.37	$527.66	$750.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $427.20 / $670.12	Professional		$54.94	$427.20	$670.12
United Facility/Professional Professional Modifier Low / Median / High Price $296.83 / $412.04 / $737.57	Professional		$296.83	$412.04	$737.57