Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.45 / $306.45 / $306.45	Facility		$306.45	$306.45	$306.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.81 / $306.45 / $306.45	Professional		$260.81	$306.45	$306.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.18 / $1,618.17 / $2,947.22	Facility		$812.18	$1,618.17	$2,947.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.77 / $536.60 / $724.41	Professional		$509.77	$536.60	$724.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $348.79 / $348.79 / $465.06	Facility		$348.79	$348.79	$465.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $429.28 / $429.28 / $429.28	Professional		$429.28	$429.28	$429.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $347.13	Facility		$347.13	$347.13	$347.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.13 / $347.13 / $622.13	Professional		$347.13	$347.13	$622.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $306.45 / $387.78 / $387.78	Facility		$306.45	$387.78	$387.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $387.78 / $617.09	Professional		$306.45	$387.78	$617.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.60 / $397.08 / $456.64	Professional		$325.60	$397.08	$456.64
United Facility/Professional Professional Modifier Low / Median / High Price $209.61 / $267.70 / $384.06	Professional		$209.61	$267.70	$384.06