Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.09 / $377.09 / $377.09	Facility		$377.09	$377.09	$377.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.24 / $377.09 / $394.89	Professional		$314.24	$377.09	$394.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $999.41 / $1,991.20 / $3,626.63	Facility		$999.41	$1,991.20	$3,626.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.29 / $660.30 / $891.41	Professional		$627.29	$660.30	$891.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.59 / $429.20 / $523.45	Facility		$392.59	$429.20	$523.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $528.24 / $528.24 / $528.24	Professional		$528.24	$528.24	$528.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $427.13 / $427.13	Facility		$427.13	$427.13	$427.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.13 / $427.13 / $765.38	Professional		$427.13	$427.13	$765.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $377.09 / $477.15 / $477.15	Facility		$377.09	$477.15	$477.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $377.09 / $477.15 / $742.66	Professional		$377.09	$477.15	$742.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $243.12	Professional		$30.00	$30.00	$243.12
United Facility/Professional Professional Modifier Low / Median / High Price $251.10 / $315.66 / $472.58	Professional		$251.10	$315.66	$472.58