Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.97 / $398.97 / $511.88	Facility		$398.97	$398.97	$511.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.12 / $398.97 / $1,011.93	Professional		$309.12	$398.97	$1,011.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.20 / $568.20 / $568.20	Facility		$568.20	$568.20	$568.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.54 / $596.61 / $710.25	Professional		$516.54	$596.61	$710.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.36 / $457.31 / $587.57	Facility		$361.36	$457.31	$587.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.10 / $469.77 / $595.13	Professional		$356.10	$469.77	$595.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.14 / $441.14 / $441.14	Facility		$441.14	$441.14	$441.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.18 / $460.01 / $1,193.86	Professional		$333.18	$460.01	$1,193.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $381.09 / $399.88 / $501.03	Facility		$381.09	$399.88	$501.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $349.66 / $411.84 / $992.00	Professional		$349.66	$411.84	$992.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.81 / $410.80 / $599.67	Professional		$325.81	$410.80	$599.67
United Facility/Professional Professional Modifier Low / Median / High Price $369.32 / $439.29 / $568.41	Professional		$369.32	$439.29	$568.41