Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.55 / $287.55 / $287.55	Facility		$287.55	$287.55	$287.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $287.55 / $320.66	Professional		$254.00	$287.55	$320.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $762.09 / $1,518.38 / $2,765.48	Facility		$762.09	$1,518.38	$2,765.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.33 / $503.51 / $679.74	Professional		$478.33	$503.51	$679.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $327.27 / $399.15 / $421.55	Facility		$327.27	$399.15	$421.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $402.81 / $402.81 / $402.81	Professional		$402.81	$402.81	$402.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.76 / $319.76 / $319.76	Facility		$319.76	$319.76	$319.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $418.66 / $729.84	Professional		$233.42	$418.66	$729.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $287.55 / $363.86 / $363.86	Facility		$287.55	$363.86	$363.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $287.55 / $363.86 / $579.03	Professional		$287.55	$363.86	$579.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $305.53 / $372.60 / $428.49	Professional		$305.53	$372.60	$428.49
United Facility/Professional Professional Modifier Low / Median / High Price $196.68 / $240.71 / $360.37	Professional		$196.68	$240.71	$360.37