Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.53 / $246.53 / $246.53	Facility		$246.53	$246.53	$246.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.78 / $246.53 / $246.53	Professional		$210.78	$246.53	$246.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.38 / $1,301.77 / $2,370.96	Facility		$653.38	$1,301.77	$2,370.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.10 / $431.68 / $582.77	Professional		$410.10	$431.68	$582.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.58 / $280.58 / $291.77	Facility		$280.58	$280.58	$291.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $345.34 / $345.34 / $345.34	Professional		$345.34	$345.34	$345.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $279.26	Facility		$279.26	$279.26	$279.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.26 / $279.26 / $500.63	Professional		$279.26	$279.26	$500.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $246.53 / $311.95 / $311.95	Facility		$246.53	$311.95	$311.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $246.53 / $311.95 / $465.71	Professional		$246.53	$311.95	$465.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $261.94 / $319.44 / $367.35	Professional		$261.94	$319.44	$367.35
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $179.47 / $215.36 / $331.86	Professional		$179.47	$215.36	$331.86