Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.78 / $858.78 / $858.78	Facility		$858.78	$858.78	$858.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.03 / $858.78 / $858.78	Professional		$531.03	$858.78	$858.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.55 / $3,581.87 / $4,775.84	Facility		$280.55	$3,581.87	$4,775.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $944.75 / $1,342.53	Professional		$72.68	$944.75	$1,342.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.64 / $502.33 / $873.55	Facility		$64.64	$502.33	$873.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $596.67 / $795.58	Professional		$79.56	$596.67	$795.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $897.30	Facility		$670.25	$670.25	$897.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.25 / $797.55 / $971.18	Professional		$670.25	$797.55	$971.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $582.77 / $907.65 / $1,491.71	Professional		$582.77	$907.65	$1,491.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $104.80 / $952.78	Professional		$78.12	$104.80	$952.78
United Facility/Professional Professional Modifier Low / Median / High Price $447.51 / $635.19 / $1,034.22	Professional		$447.51	$635.19	$1,034.22