Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.35 / $395.94 / $692.90	Facility		$356.35	$395.94	$692.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $395.94 / $530.30	Professional		$220.89	$395.94	$530.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.27 / $292.27 / $292.27	Facility		$292.27	$292.27	$292.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.66 / $292.27 / $325.08	Professional		$277.66	$292.27	$325.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $619.02 / $1,131.75	Facility		$416.78	$619.02	$1,131.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $520.98 / $562.65	Professional		$416.78	$520.98	$562.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.84 / $341.46 / $634.99	Professional		$211.84	$341.46	$634.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $356.35 / $395.94 / $727.54	Facility		$356.35	$395.94	$727.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $395.94 / $416.78 / $625.16	Professional		$395.94	$416.78	$625.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $345.09 / $379.59 / $465.87	Professional		$345.09	$379.59	$465.87
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $340.31 / $567.17	Professional		$175.05	$340.31	$567.17