Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.12 / $356.12 / $356.12	Facility		$356.12	$356.12	$356.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.49 / $356.12 / $404.11	Professional		$304.49	$356.12	$404.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $943.84 / $1,880.50 / $3,425.01	Facility		$943.84	$1,880.50	$3,425.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.46 / $623.59 / $841.85	Professional		$514.46	$623.59	$841.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $405.33 / $405.33 / $502.09	Facility		$405.33	$405.33	$502.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $498.87 / $498.87	Professional		$498.87	$498.87	$498.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $389.66	Facility		$389.66	$389.66	$389.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.65 / $389.66 / $723.00	Professional		$389.65	$389.66	$723.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $356.12 / $450.64 / $450.64	Facility		$356.12	$450.64	$450.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $356.12 / $450.64 / $701.38	Professional		$356.12	$450.64	$701.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $236.43	Professional		$30.00	$30.00	$236.43
United Facility/Professional Professional Modifier Low / Median / High Price $259.25 / $311.10 / $479.40	Professional		$259.25	$311.10	$479.40