Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.48 / $268.48 / $268.48	Facility		$268.48	$268.48	$268.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.32 / $268.48 / $268.48	Professional		$181.32	$268.48	$268.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.56 / $1,417.69 / $2,582.09	Facility		$711.56	$1,417.69	$2,582.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.61 / $470.12 / $634.66	Professional		$446.61	$470.12	$634.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.49 / $305.29 / $305.58	Facility		$242.49	$305.29	$305.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $376.10 / $376.10 / $376.10	Professional		$376.10	$376.10	$376.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $291.02 / $291.02	Facility		$291.02	$291.02	$291.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.02 / $291.02 / $544.88	Professional		$291.02	$291.02	$544.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $268.48 / $339.73 / $339.73	Facility		$268.48	$339.73	$339.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $268.48 / $339.73 / $564.14	Professional		$268.48	$339.73	$564.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $178.38	Professional		$30.00	$30.00	$178.38
United Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $184.46 / $236.14	Facility		$3.07	$184.46	$236.14
United Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $216.85 / $336.48	Professional		$145.72	$216.85	$336.48