Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.35 / $275.35 / $275.35	Facility		$275.35	$275.35	$275.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.43 / $275.35 / $275.35	Professional		$235.43	$275.35	$275.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $729.76 / $1,453.97 / $2,648.16	Facility		$729.76	$1,453.97	$2,648.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.04 / $482.15 / $650.90	Professional		$458.04	$482.15	$650.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.83 / $313.39 / $331.24	Facility		$282.83	$313.39	$331.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $385.72 / $385.72 / $385.72	Professional		$385.72	$385.72	$385.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $274.54	Facility		$274.54	$274.54	$274.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $400.90 / $698.91	Professional		$200.41	$400.90	$698.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $275.35 / $348.41 / $348.41	Facility		$275.35	$348.41	$348.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $348.41 / $506.25	Professional		$270.30	$348.41	$506.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.56 / $356.79 / $410.30	Professional		$292.56	$356.79	$410.30
United Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $230.50 / $340.77	Professional		$180.90	$230.50	$340.77