Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.11 / $344.11 / $344.11	Facility		$344.11	$344.11	$344.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.86 / $344.11 / $344.11	Professional		$288.86	$344.11	$344.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $911.98 / $1,817.02 / $3,309.39	Facility		$911.98	$1,817.02	$3,309.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.41 / $602.54 / $813.43	Professional		$572.41	$602.54	$813.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $386.09 / $391.65 / $391.90	Facility		$386.09	$391.65	$391.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $482.03 / $482.03 / $482.03	Professional		$482.03	$482.03	$482.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $380.61	Facility		$380.61	$380.61	$380.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $501.01 / $873.28	Professional		$277.85	$501.01	$873.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $344.11 / $435.43 / $435.43	Facility		$344.11	$435.43	$435.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $344.11 / $435.43 / $632.66	Professional		$344.11	$435.43	$632.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $378.99 / $445.88 / $512.76	Professional		$378.99	$445.88	$512.76
United Facility/Professional Professional Modifier Low / Median / High Price $209.67 / $282.95 / $431.25	Professional		$209.67	$282.95	$431.25