Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.36 / $428.36 / $668.24	Facility		$428.36	$428.36	$668.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.78 / $428.36 / $428.36	Professional		$387.78	$428.36	$428.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.78 / $510.04 / $895.81	Facility		$365.78	$510.04	$895.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.27 / $338.18 / $361.85	Professional		$321.27	$338.18	$361.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $669.72 / $1,101.98	Facility		$450.91	$669.72	$1,101.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $563.64 / $608.73	Professional		$450.91	$563.64	$608.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $228.50 / $627.34	Professional		$180.36	$228.50	$627.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $424.49 / $428.36 / $787.11	Facility		$424.49	$428.36	$787.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $387.78 / $424.49 / $556.63	Professional		$387.78	$424.49	$556.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $373.35 / $410.68 / $504.02	Professional		$373.35	$410.68	$504.02
United Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $270.55 / $451.59	Professional		$189.38	$270.55	$451.59