Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.00 / $281.00 / $438.36	Facility		$281.00	$281.00	$438.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.54 / $281.00 / $281.00	Professional		$206.54	$281.00	$281.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.94 / $334.58 / $587.63	Facility		$239.94	$334.58	$587.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $221.84 / $237.37	Professional		$210.75	$221.84	$237.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $354.95 / $709.90	Facility		$295.79	$354.95	$709.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $369.74 / $399.32	Professional		$295.79	$369.74	$399.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $177.83 / $411.33	Professional		$135.38	$177.83	$411.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $278.27 / $281.00 / $516.34	Facility		$278.27	$281.00	$516.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $278.27 / $354.95	Professional		$278.27	$278.27	$354.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.91 / $269.40 / $440.83	Professional		$244.91	$269.40	$440.83
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $177.47 / $295.79	Professional		$124.23	$177.47	$295.79