Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.44 / $284.44 / $521.37	Facility		$284.44	$284.44	$521.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.29 / $284.44 / $298.66	Professional		$236.29	$284.44	$298.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $753.86 / $1,501.98 / $2,735.60	Facility		$753.86	$1,501.98	$2,735.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.17 / $498.07 / $672.39	Professional		$473.17	$498.07	$672.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.01 / $323.75 / $325.51	Facility		$316.01	$323.75	$325.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.46 / $398.46 / $398.46	Professional		$398.46	$398.46	$398.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $278.04	Facility		$278.04	$278.04	$278.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.04 / $278.04 / $577.50	Professional		$278.04	$278.04	$577.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $284.44 / $359.93 / $521.37	Facility		$284.44	$359.93	$521.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $284.44 / $359.93 / $522.97	Professional		$284.44	$359.93	$522.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $220.01 / $290.45	Facility		$3.67	$220.01	$290.45
United Facility/Professional Professional Modifier Low / Median / High Price $173.82 / $233.89 / $427.18	Professional		$173.82	$233.89	$427.18