Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.73 / $325.73 / $325.73	Facility		$325.73	$325.73	$325.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.32 / $325.73 / $336.88	Professional		$287.32	$325.73	$336.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.31 / $1,720.04 / $3,132.76	Facility		$863.31	$1,720.04	$3,132.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.86 / $570.38 / $770.01	Professional		$541.86	$570.38	$770.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $337.90 / $370.75 / $377.72	Facility		$337.90	$370.75	$377.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $456.30 / $456.30 / $456.30	Professional		$456.30	$456.30	$456.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $379.04 / $379.04	Facility		$379.04	$379.04	$379.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $474.25 / $826.41	Professional		$276.70	$474.25	$826.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $325.73 / $412.16 / $412.16	Facility		$325.73	$412.16	$412.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $325.73 / $412.16 / $598.89	Professional		$325.73	$412.16	$598.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.10 / $422.08 / $485.39	Professional		$346.10	$422.08	$485.39
United Facility/Professional Facility Modifier Low / Median / High Price $259.82 / $259.82 / $259.82	Facility		$259.82	$259.82	$259.82
United Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $267.83 / $396.86	Professional		$203.06	$267.83	$396.86