Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.13 / $342.13 / $342.13	Facility		$342.13	$342.13	$342.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.37 / $342.13 / $342.13	Professional		$252.37	$342.13	$342.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $906.76 / $1,806.62 / $3,290.44	Facility		$906.76	$1,806.62	$3,290.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.14 / $599.09 / $808.77	Professional		$569.14	$599.09	$808.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $321.10 / $345.16 / $389.41	Facility		$321.10	$345.16	$389.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $479.27 / $479.27 / $479.27	Professional		$479.27	$479.27	$479.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $387.54	Facility		$387.54	$387.54	$387.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.54 / $387.54 / $694.50	Professional		$387.54	$387.54	$694.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $342.13 / $432.93 / $432.93	Facility		$342.13	$432.93	$432.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $338.97 / $432.93 / $629.04	Professional		$338.97	$432.93	$629.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.53 / $443.33 / $509.82	Professional		$363.53	$443.33	$509.82
United Facility/Professional Professional Modifier Low / Median / High Price $199.25 / $276.33 / $400.30	Professional		$199.25	$276.33	$400.30