Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.57 / $223.57 / $223.57	Facility		$223.57	$223.57	$223.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.25 / $223.57 / $223.57	Professional		$182.25	$223.57	$223.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $592.54 / $1,180.58 / $2,150.21	Facility		$592.54	$1,180.58	$2,150.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.92 / $391.49 / $528.51	Professional		$371.92	$391.49	$528.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.72 / $232.72 / $254.47	Facility		$232.72	$232.72	$254.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $313.19 / $313.19 / $313.19	Professional		$313.19	$313.19	$313.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $227.07	Facility		$227.07	$227.07	$227.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.51 / $227.07 / $325.52	Professional		$221.51	$227.07	$325.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $223.57 / $282.91 / $282.91	Facility		$223.57	$282.91	$282.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $223.57 / $282.91 / $411.06	Professional		$223.57	$282.91	$411.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.55 / $289.70 / $333.15	Professional		$237.55	$289.70	$333.15
United Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $183.85 / $280.20	Professional		$139.86	$183.85	$280.20