Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.36 / $295.36 / $295.36	Facility		$295.36	$295.36	$295.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.53 / $295.36 / $315.77	Professional		$252.53	$295.36	$315.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.78 / $1,559.61 / $2,840.56	Facility		$782.78	$1,559.61	$2,840.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.32 / $517.17 / $698.19	Professional		$491.32	$517.17	$698.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $336.17 / $336.17 / $341.67	Facility		$336.17	$336.17	$341.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $413.74 / $413.74 / $413.74	Professional		$413.74	$413.74	$413.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $364.44	Facility		$364.44	$364.44	$364.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.44 / $364.44 / $599.63	Professional		$364.44	$364.44	$599.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $295.36 / $373.73 / $373.73	Facility		$295.36	$373.73	$373.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $295.36 / $373.73 / $557.91	Professional		$295.36	$373.73	$557.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $313.82 / $382.71 / $440.11	Professional		$313.82	$382.71	$440.11
United Facility/Professional Professional Modifier Low / Median / High Price $215.02 / $258.02 / $397.59	Professional		$215.02	$258.02	$397.59