Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.12 / $366.12 / $366.12	Facility		$366.12	$366.12	$366.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.30 / $366.12 / $366.12	Professional		$317.30	$366.12	$366.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.34 / $1,933.30 / $3,521.18	Facility		$970.34	$1,933.30	$3,521.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.04 / $641.10 / $865.49	Professional		$609.04	$641.10	$865.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $362.75 / $411.83 / $416.72	Facility		$362.75	$411.83	$416.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.88 / $512.88 / $512.88	Professional		$512.88	$512.88	$512.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.04 / $419.04 / $419.04	Facility		$419.04	$419.04	$419.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.04 / $419.04 / $743.25	Professional		$419.04	$419.04	$743.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $366.12 / $463.28 / $463.28	Facility		$366.12	$463.28	$463.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $344.34 / $463.28 / $673.15	Professional		$344.34	$463.28	$673.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.01 / $474.41 / $545.57	Professional		$389.01	$474.41	$545.57
United Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $301.06 / $453.09	Professional		$218.00	$301.06	$453.09