Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.82 / $277.82 / $277.82	Facility		$277.82	$277.82	$277.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.50 / $277.82 / $277.82	Professional		$217.50	$277.82	$277.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $736.32 / $1,467.03 / $2,671.94	Facility		$736.32	$1,467.03	$2,671.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.16 / $486.48 / $656.75	Professional		$462.16	$486.48	$656.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $268.75 / $268.75 / $316.20	Facility		$268.75	$268.75	$316.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.18 / $389.18 / $389.18	Professional		$389.18	$389.18	$389.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $273.20	Facility		$273.20	$273.20	$273.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $273.20 / $564.00	Professional		$273.20	$273.20	$564.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $277.82 / $351.57 / $351.57	Facility		$277.82	$351.57	$351.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $351.57 / $510.80	Professional		$261.29	$351.57	$510.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.20 / $360.00 / $414.00	Professional		$295.20	$360.00	$414.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.90 / $228.46 / $327.14	Professional		$171.90	$228.46	$327.14