Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.93 / $400.79 / $753.54	Facility		$395.93	$400.79	$753.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.43 / $475.51 / $625.16	Professional		$358.43	$475.51	$625.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.10 / $471.45 / $828.02	Facility		$338.10	$471.45	$828.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.95 / $312.58 / $334.47	Professional		$296.95	$312.58	$334.47
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 / $341.67 / $634.99	Professional		$211.84	$341.67	$634.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $376.14 / $400.79 / $738.94	Facility		$376.14	$400.79	$738.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $358.43 / $416.78 / $572.36	Professional		$358.43	$416.78	$572.36
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 / $341.16 / $568.60	Professional		$175.05	$341.16	$568.60