Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.32 / $396.32 / $396.32	Facility		$396.32	$396.32	$396.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.67 / $384.60 / $396.32	Professional		$269.67	$384.60	$396.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $503.74 / $715.84	Professional		$38.75	$503.74	$715.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.98 / $39.61 / $368.55	Facility		$31.98	$39.61	$368.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $48.76 / $539.64	Professional		$40.40	$48.76	$539.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $238.50 / $238.50	Facility		$235.00	$238.50	$238.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $245.66 / $642.00	Professional		$235.00	$245.66	$642.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $367.67 / $505.00	Professional		$50.50	$367.67	$505.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $170.96 / $367.67	Professional		$30.00	$170.96	$367.67
United Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $170.10 / $269.83	Facility		$30.18	$170.10	$269.83
United Facility/Professional Professional Modifier Low / Median / High Price $142.02 / $199.16 / $284.02	Professional		$142.02	$199.16	$284.02