Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.63 / $252.63 / $771.46	Facility		$252.63	$252.63	$771.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.59 / $252.63 / $276.42	Professional		$237.59	$252.63	$276.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $669.56 / $1,334.01 / $2,429.67	Facility		$669.56	$1,334.01	$2,429.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.25 / $442.37 / $597.20	Professional		$420.25	$442.37	$597.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $287.54 / $287.54 / $315.39	Facility		$287.54	$287.54	$315.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $353.90 / $353.90 / $353.90	Professional		$353.90	$353.90	$353.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $345.03	Facility		$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.03 / $345.03 / $513.00	Professional		$345.03	$345.03	$513.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $252.63 / $319.68 / $771.46	Facility		$252.63	$319.68	$771.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $237.59 / $319.68 / $464.48	Professional		$237.59	$319.68	$464.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.42 / $327.35 / $376.45	Professional		$268.42	$327.35	$376.45
United Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $220.20 / $316.61	Professional		$172.80	$220.20	$316.61