Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.41 / $380.41 / $380.41	Facility		$380.41	$380.41	$380.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.11 / $380.41 / $383.50	Professional		$312.11	$380.41	$383.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,008.18 / $2,008.69 / $3,658.49	Facility		$1,008.18	$2,008.69	$3,658.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.79 / $666.10 / $899.24	Professional		$632.79	$666.10	$899.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $384.66 / $384.66 / $432.97	Facility		$384.66	$384.66	$432.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $532.88 / $532.88 / $532.88	Professional		$532.88	$532.88	$532.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.78 / $400.78 / $400.78	Facility		$400.78	$400.78	$400.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.78 / $400.78 / $772.13	Professional		$400.78	$400.78	$772.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $380.41 / $481.36 / $481.36	Facility		$380.41	$481.36	$481.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $380.41 / $481.36 / $749.21	Professional		$380.41	$481.36	$749.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $282.96	Professional		$30.00	$30.00	$282.96
United Facility/Professional Professional Modifier Low / Median / High Price $246.03 / $318.44 / $470.78	Professional		$246.03	$318.44	$470.78