Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.88 / $421.88 / $421.88	Facility		$421.88	$421.88	$421.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $421.88 / $421.88	Professional		$276.45	$421.88	$421.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,118.10 / $2,227.71 / $4,057.40	Facility		$1,118.10	$2,227.71	$4,057.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.79 / $738.73 / $997.29	Professional		$701.79	$738.73	$997.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $369.72 / $369.72 / $480.17	Facility		$369.72	$369.72	$480.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $590.98 / $590.98 / $590.98	Professional		$590.98	$590.98	$590.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.88 / $477.88 / $477.88	Facility		$477.88	$477.88	$477.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.85 / $595.07 / $865.07	Professional		$348.85	$595.07	$865.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $421.88 / $533.85 / $533.85	Facility		$421.88	$533.85	$533.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $396.78 / $533.85 / $775.66	Professional		$396.78	$533.85	$775.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $448.26 / $546.66 / $628.65	Professional		$448.26	$546.66	$628.65
United Facility/Professional Professional Modifier Low / Median / High Price $236.47 / $340.76 / $528.74	Professional		$236.47	$340.76	$528.74