Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.06 / $261.06 / $261.06	Facility		$261.06	$261.06	$261.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.25 / $261.06 / $261.06	Professional		$226.25	$261.06	$261.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.88 / $1,378.49 / $2,510.69	Facility		$691.88	$1,378.49	$2,510.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.26 / $457.12 / $617.11	Professional		$434.26	$457.12	$617.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.16 / $297.13 / $300.95	Facility		$276.16	$297.13	$300.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $365.70 / $365.70 / $365.70	Professional		$365.70	$365.70	$365.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Facility		$295.70	$295.70	$295.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.70 / $295.70 / $529.88	Professional		$295.70	$295.70	$529.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $261.06 / $330.34 / $330.34	Facility		$261.06	$330.34	$330.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $261.06 / $330.34 / $479.97	Professional		$261.06	$330.34	$479.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $338.27 / $389.01	Professional		$277.38	$338.27	$389.01
United Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $208.12 / $266.43	Facility		$3.47	$208.12	$266.43
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $214.67 / $323.08	Professional		$164.42	$214.67	$323.08