Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.52 / $300.52 / $300.52	Facility		$300.52	$300.52	$300.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.95 / $300.52 / $300.52	Professional		$256.95	$300.52	$300.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.48 / $1,586.90 / $2,890.27	Facility		$796.48	$1,586.90	$2,890.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.92 / $526.23 / $710.41	Professional		$499.92	$526.23	$710.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.05 / $346.67 / $350.94	Facility		$342.05	$346.67	$350.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $420.98 / $420.98 / $420.98	Professional		$420.98	$420.98	$420.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $340.42 / $340.42	Facility		$340.42	$340.42	$340.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.42 / $340.42 / $610.13	Professional		$340.42	$340.42	$610.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $300.52 / $380.28 / $380.28	Facility		$300.52	$380.28	$380.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $380.28 / $552.54	Professional		$300.52	$380.28	$552.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $319.31 / $389.41 / $447.82	Professional		$319.31	$389.41	$447.82
United Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $251.57 / $385.95	Professional		$208.71	$251.57	$385.95