Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.02 / $313.02 / $488.33	Facility		$313.02	$313.02	$488.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.38 / $313.02 / $313.02	Professional		$283.38	$313.02	$313.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.30 / $372.72 / $654.62	Facility		$267.30	$372.72	$654.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.77 / $247.13 / $264.43	Professional		$234.77	$247.13	$264.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.69 / $342.69 / $342.69	Facility		$342.69	$342.69	$342.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.75 / $198.07 / $501.80	Professional		$150.75	$198.07	$501.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $293.56 / $313.02 / $575.19	Facility		$293.56	$313.02	$575.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $310.00 / $395.41	Professional		$310.00	$310.00	$395.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $300.12 / $491.11	Professional		$272.83	$300.12	$491.11
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $329.51	Professional		$138.38	$197.71	$329.51