Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.12 / $234.12 / $234.12	Facility		$234.12	$234.12	$234.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.26 / $234.12 / $234.12	Professional		$157.26	$234.12	$234.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $620.50 / $1,236.28 / $2,251.66	Facility		$620.50	$1,236.28	$2,251.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.46 / $409.96 / $553.45	Professional		$389.46	$409.96	$553.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.32 / $210.32 / $266.47	Facility		$210.32	$210.32	$266.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $327.97 / $327.97 / $327.97	Professional		$327.97	$327.97	$327.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $268.08	Facility		$268.08	$268.08	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $268.08 / $475.13	Professional		$268.08	$268.08	$475.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $234.12 / $296.25 / $296.25	Facility		$234.12	$296.25	$296.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $220.19 / $296.25 / $430.45	Professional		$220.19	$296.25	$430.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.76 / $303.37 / $348.87	Professional		$248.76	$303.37	$348.87
United Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $192.52 / $293.41	Professional		$134.52	$192.52	$293.41