Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $276.79 / $431.79	Facility		$276.79	$276.79	$431.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.57 / $276.79 / $276.79	Professional		$250.57	$276.79	$276.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.35 / $329.57 / $578.84	Facility		$236.35	$329.57	$578.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.59 / $218.52 / $233.82	Professional		$207.59	$218.52	$233.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $432.74 / $712.06	Facility		$291.36	$432.74	$712.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $364.20 / $393.34	Professional		$291.36	$364.20	$393.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $147.68 / $405.48	Professional		$116.54	$147.68	$405.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $274.29 / $276.79 / $508.60	Facility		$274.29	$276.79	$508.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $250.57 / $274.29 / $359.67	Professional		$250.57	$274.29	$359.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.24 / $265.36 / $325.67	Professional		$241.24	$265.36	$325.67
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $175.08 / $291.80	Professional		$122.37	$175.08	$291.80