Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.31 / $335.31 / $335.31	Facility		$335.31	$335.31	$335.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.24 / $335.31 / $347.78	Professional		$288.24	$335.31	$347.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.68 / $1,770.58 / $3,224.81	Facility		$888.68	$1,770.58	$3,224.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.78 / $587.14 / $792.64	Professional		$557.78	$587.14	$792.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $348.83 / $356.14 / $381.64	Facility		$348.83	$356.14	$381.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $469.71 / $469.71 / $469.71	Professional		$469.71	$469.71	$469.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $335.34 / $335.34	Facility		$335.34	$335.34	$335.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.34 / $335.34 / $680.63	Professional		$335.34	$335.34	$680.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $335.31 / $424.30 / $424.30	Facility		$335.31	$424.30	$424.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $315.36 / $424.30 / $616.49	Professional		$315.36	$424.30	$616.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $356.27 / $434.48 / $499.65	Professional		$356.27	$434.48	$499.65
United Facility/Professional Professional Modifier Low / Median / High Price $209.63 / $275.72 / $420.23	Professional		$209.63	$275.72	$420.23