Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.67 / $282.67 / $282.67	Facility		$282.67	$282.67	$282.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $282.67 / $282.67	Professional		$207.19	$282.67	$282.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.15 / $1,492.60 / $2,718.52	Facility		$749.15	$1,492.60	$2,718.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.21 / $494.96 / $668.20	Professional		$470.21	$494.96	$668.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.00 / $256.00 / $321.72	Facility		$256.00	$256.00	$321.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $395.97 / $395.97 / $395.97	Professional		$395.97	$395.97	$395.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $246.11	Facility		$246.11	$246.11	$246.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.10 / $246.11 / $573.75	Professional		$246.10	$246.11	$573.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $282.67 / $357.68 / $357.68	Facility		$282.67	$357.68	$357.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $265.85 / $357.68 / $519.70	Professional		$265.85	$357.68	$519.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $311.32 / $366.27 / $421.21	Professional		$311.32	$366.27	$421.21
United Facility/Professional Professional Modifier Low / Median / High Price $163.74 / $228.31 / $354.25	Professional		$163.74	$228.31	$354.25