Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.74 / $268.74 / $419.23	Facility		$268.74	$268.74	$419.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $268.74 / $700.00	Professional		$126.50	$268.74	$700.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.95 / $426.64 / $749.32	Facility		$305.95	$426.64	$749.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.74 / $282.88 / $302.68	Professional		$268.74	$282.88	$302.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $339.46 / $678.91	Facility		$282.88	$339.46	$678.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $353.60 / $381.89	Professional		$282.88	$353.60	$381.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $143.37 / $689.01	Professional		$113.15	$143.37	$689.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $248.38 / $268.74 / $493.81	Facility		$248.38	$268.74	$493.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $248.38 / $268.74 / $381.89	Professional		$248.38	$268.74	$381.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.22 / $257.64 / $316.19	Professional		$234.22	$257.64	$316.19
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $169.73 / $282.88	Professional		$118.81	$169.73	$282.88