Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.96 / $790.96 / $790.96	Facility		$790.96	$790.96	$790.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.91 / $790.96 / $795.60	Professional		$557.91	$790.96	$795.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.96 / $3,928.27 / $5,237.68	Facility		$399.96	$3,928.27	$5,237.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $1,036.10 / $1,472.36	Professional		$103.61	$1,036.10	$1,472.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $67.52 / $911.46	Facility		$65.18	$67.52	$911.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $83.10 / $1,217.28	Professional		$83.10	$83.10	$1,217.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,355.54 / $2,355.54 / $2,355.54	Facility		$2,355.54	$2,355.54	$2,355.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $2,355.54 / $2,355.54	Professional		$73.42	$2,355.54	$2,355.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.36 / $442.37 / $1,038.70	Professional		$52.36	$442.37	$1,038.70
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 $350.58 / $431.63 / $685.12	Professional		$350.58	$431.63	$685.12