Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.66 / $545.66 / $545.66	Facility		$545.66	$545.66	$545.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.55 / $545.66 / $588.83	Professional		$418.55	$545.66	$588.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $955.47 / $955.47 / $955.47	Facility		$955.47	$955.47	$955.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $907.70 / $955.47 / $1,289.88	Professional		$907.70	$955.47	$1,289.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $482.03 / $527.04 / $621.05	Facility		$482.03	$527.04	$621.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $764.38 / $764.38 / $764.38	Professional		$764.38	$764.38	$764.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.71 / $451.71 / $451.71	Facility		$451.71	$451.71	$451.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.88 / $451.71 / $1,107.75	Professional		$439.88	$451.71	$1,107.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $545.66 / $690.47 / $690.47	Facility		$545.66	$690.47	$690.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $545.66 / $690.47 / $1,074.65	Professional		$545.66	$690.47	$1,074.65
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 $303.41 / $448.69 / $635.55	Professional		$303.41	$448.69	$635.55