Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $285.00 / $444.60	Facility		$285.00	$285.00	$444.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $285.00 / $285.00	Professional		$258.00	$285.00	$285.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.36 / $339.35 / $596.00	Facility		$243.36	$339.35	$596.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.75 / $225.00 / $240.75	Professional		$213.75	$225.00	$240.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $312.00 / $312.00	Facility		$312.00	$312.00	$312.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.21 / $160.11 / $417.18	Professional		$137.21	$160.11	$417.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $267.27 / $285.00 / $523.69	Facility		$267.27	$285.00	$523.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $310.00 / $360.00	Professional		$285.00	$310.00	$360.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $273.24 / $447.12	Professional		$248.40	$273.24	$447.12
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $180.00 / $329.51	Professional		$126.00	$180.00	$329.51