Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.16 / $327.16 / $327.16	Facility		$327.16	$327.16	$327.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.79 / $327.16 / $327.16	Professional		$290.79	$327.16	$327.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $867.09 / $1,727.58 / $3,146.49	Facility		$867.09	$1,727.58	$3,146.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.24 / $572.88 / $773.39	Professional		$544.24	$572.88	$773.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $365.87 / $372.37 / $377.36	Facility		$365.87	$372.37	$377.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $458.30 / $458.30 / $458.30	Professional		$458.30	$458.30	$458.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $347.46	Facility		$347.46	$347.46	$347.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.46 / $347.46 / $664.13	Professional		$347.46	$347.46	$664.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $327.16 / $413.99 / $413.99	Facility		$327.16	$413.99	$413.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $313.60 / $413.99 / $601.52	Professional		$313.60	$413.99	$601.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $347.62 / $423.93 / $487.51	Professional		$347.62	$423.93	$487.51
United Facility/Professional Professional Modifier Low / Median / High Price $201.72 / $269.02 / $408.60	Professional		$201.72	$269.02	$408.60