Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.69 / $211.69 / $211.69	Facility		$211.69	$211.69	$211.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.16 / $211.69 / $211.69	Professional		$180.16	$211.69	$211.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.04 / $1,117.82 / $2,035.92	Facility		$561.04	$1,117.82	$2,035.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.15 / $370.68 / $500.42	Professional		$352.15	$370.68	$500.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.94 / $240.94 / $268.18	Facility		$240.94	$240.94	$268.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $296.54 / $296.54 / $296.54	Professional		$296.54	$296.54	$296.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $239.78	Facility		$239.78	$239.78	$239.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.78 / $239.78 / $429.75	Professional		$239.78	$239.78	$429.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $211.69 / $267.86 / $267.86	Facility		$211.69	$267.86	$267.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $211.69 / $267.86 / $426.28	Professional		$211.69	$267.86	$426.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $224.92 / $274.30 / $315.44	Professional		$224.92	$274.30	$315.44
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $184.93 / $284.95	Professional		$154.11	$184.93	$284.95