Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.84 / $229.84 / $229.84	Facility		$229.84	$229.84	$229.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.19 / $229.84 / $240.43	Professional		$199.19	$229.84	$240.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $609.13 / $1,213.63 / $2,210.42	Facility		$609.13	$1,213.63	$2,210.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.33 / $402.45 / $543.30	Professional		$382.33	$402.45	$543.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $261.58 / $281.95	Facility		$260.20	$261.58	$281.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $321.95 / $321.95 / $321.95	Professional		$321.95	$321.95	$321.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $334.63 / $583.13	Professional		$184.40	$334.63	$583.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.84 / $290.83 / $290.83	Facility		$229.84	$290.83	$290.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $290.83 / $422.57	Professional		$224.10	$290.83	$422.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $297.81 / $342.48	Professional		$244.20	$297.81	$342.48
United Facility/Professional Professional Modifier Low / Median / High Price $156.37 / $192.40 / $288.04	Professional		$156.37	$192.40	$288.04