Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.08 / $358.08 / $358.08	Facility		$358.08	$358.08	$358.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.75 / $312.08 / $358.08	Professional		$232.75	$312.08	$358.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.04 / $1,289.80 / $2,447.16	Facility		$637.04	$1,289.80	$2,447.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $47.31 / $60.83	Professional		$42.81	$47.31	$60.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.71 / $51.82 / $67.59	Facility		$31.71	$51.82	$67.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $58.58 / $74.69	Professional		$38.68	$58.58	$74.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $318.39 / $318.39	Facility		$318.39	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $270.64 / $592.28	Professional		$270.64	$270.64	$592.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $219.96 / $358.08	Facility		$22.00	$219.96	$358.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $219.96 / $1,622.16	Professional		$22.00	$219.96	$1,622.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $27.78 / $63.35	Professional		$17.50	$27.78	$63.35