Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.40 / $229.40 / $229.40	Facility		$229.40	$229.40	$229.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.31 / $229.40 / $235.83	Professional		$211.31	$229.40	$235.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.98 / $1,211.33 / $2,206.23	Facility		$607.98	$1,211.33	$2,206.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.61 / $401.69 / $542.28	Professional		$381.61	$401.69	$542.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $261.10 / $261.10 / $299.86	Facility		$261.10	$261.10	$299.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $321.35 / $321.35 / $321.35	Professional		$321.35	$321.35	$321.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $251.00	Facility		$251.00	$251.00	$251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $251.00 / $465.75	Professional		$251.00	$251.00	$465.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.40 / $290.27 / $290.27	Facility		$229.40	$290.27	$290.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $290.27 / $451.80	Professional		$229.40	$290.27	$451.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $192.07	Professional		$30.00	$30.00	$192.07
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $192.04 / $301.94	Professional		$156.91	$192.04	$301.94