Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.48 / $296.48 / $296.48	Facility		$296.48	$296.48	$296.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.80 / $296.48 / $296.48	Professional		$232.80	$296.48	$296.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $785.78 / $1,565.58 / $2,851.43	Facility		$785.78	$1,565.58	$2,851.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.20 / $519.16 / $700.87	Professional		$493.20	$519.16	$700.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.14 / $308.58 / $337.45	Facility		$294.14	$308.58	$337.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $415.33 / $415.33 / $415.33	Professional		$415.33	$415.33	$415.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $335.84	Facility		$335.84	$335.84	$335.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $431.67 / $752.34	Professional		$245.16	$431.67	$752.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $296.48 / $375.17 / $375.17	Facility		$296.48	$375.17	$375.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $296.48 / $375.17 / $545.11	Professional		$296.48	$375.17	$545.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $315.02 / $384.18 / $441.80	Professional		$315.02	$384.18	$441.80
United Facility/Professional Professional Modifier Low / Median / High Price $185.10 / $248.19 / $370.20	Professional		$185.10	$248.19	$370.20