Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.95 / $282.95 / $282.95	Facility		$282.95	$282.95	$282.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.67 / $282.95 / $282.95	Professional		$244.67	$282.95	$282.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.91 / $1,494.11 / $2,721.26	Facility		$749.91	$1,494.11	$2,721.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.69 / $495.46 / $668.87	Professional		$470.69	$495.46	$668.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.32 / $302.32 / $322.05	Facility		$302.32	$302.32	$322.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $396.37 / $396.37 / $396.37	Professional		$396.37	$396.37	$396.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $290.63	Facility		$290.63	$290.63	$290.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.35 / $290.63 / $411.98	Professional		$280.35	$290.63	$411.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $282.95 / $358.06 / $358.06	Facility		$282.95	$358.06	$358.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $280.35 / $358.06 / $520.23	Professional		$280.35	$358.06	$520.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $300.64 / $366.64 / $421.63	Professional		$300.64	$366.64	$421.63
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $181.68 / $232.68 / $354.62	Professional		$181.68	$232.68	$354.62