Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.62 / $362.62 / $565.69	Facility		$362.62	$362.62	$565.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $362.62 / $572.54	Professional		$300.00	$362.62	$572.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.64 / $431.77 / $758.33	Facility		$309.64	$431.77	$758.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.97 / $286.27 / $306.32	Professional		$271.97	$286.27	$306.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.70 / $566.91 / $932.84	Facility		$381.70	$566.91	$932.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $477.13 / $515.29	Professional		$381.70	$477.13	$515.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $162.22 / $531.04	Professional		$70.02	$162.22	$531.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $362.62 / $362.62 / $730.00	Facility		$362.62	$362.62	$730.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $328.26 / $648.89 / $730.00	Professional		$328.26	$648.89	$730.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.05 / $347.65 / $426.66	Professional		$316.05	$347.65	$426.66
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $91.52 / $229.02	Professional		$63.72	$91.52	$229.02