Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.77 / $256.77 / $256.77	Facility		$256.77	$256.77	$256.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.54 / $256.77 / $262.58	Professional		$222.54	$256.77	$262.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.56 / $1,355.93 / $2,469.60	Facility		$680.56	$1,355.93	$2,469.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.16 / $449.64 / $607.01	Professional		$427.16	$449.64	$607.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.39 / $280.04 / $292.27	Facility		$263.39	$280.04	$292.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $359.71 / $359.71 / $359.71	Professional		$359.71	$359.71	$359.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $253.20	Facility		$253.20	$253.20	$253.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.20 / $253.20 / $521.25	Professional		$253.20	$253.20	$521.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $256.77 / $324.93 / $324.93	Facility		$256.77	$324.93	$324.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $254.41 / $324.93 / $472.12	Professional		$254.41	$324.93	$472.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $332.73 / $382.63	Professional		$272.83	$332.73	$382.63
United Facility/Professional Professional Modifier Low / Median / High Price $158.29 / $211.15 / $321.82	Professional		$158.29	$211.15	$321.82