Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.40 / $402.40 / $402.40	Facility		$402.40	$402.40	$402.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $402.40 / $413.20	Professional		$272.08	$402.40	$413.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $41.15 / $41.15	Facility		$41.15	$41.15	$41.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $401.24 / $722.22	Professional		$39.09	$401.24	$722.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.56 / $417.96	Facility		$33.11	$33.56	$417.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $611.40	Professional		$40.76	$40.76	$611.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $220.89 / $745.31	Professional		$40.57	$220.89	$745.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $265.58 / $402.40	Facility		$265.58	$265.58	$402.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $272.08 / $509.50	Professional		$50.95	$272.08	$509.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $34.71 / $315.56	Professional		$25.87	$34.71	$315.56
United Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $28.19 / $260.72	Professional		$21.28	$28.19	$260.72