Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.62 / $319.62 / $319.62	Facility		$319.62	$319.62	$319.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $319.62 / $319.62	Professional		$266.35	$319.62	$319.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.09 / $1,687.74 / $3,073.93	Facility		$847.09	$1,687.74	$3,073.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.69 / $559.66 / $755.55	Professional		$531.69	$559.66	$755.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.05 / $363.79 / $365.77	Facility		$355.05	$363.79	$365.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $447.74 / $447.74 / $447.74	Professional		$447.74	$447.74	$447.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $362.03	Facility		$362.03	$362.03	$362.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.03 / $362.03 / $648.75	Professional		$362.03	$362.03	$648.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $319.62 / $404.44 / $404.44	Facility		$319.62	$404.44	$404.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $316.66 / $404.44 / $587.65	Professional		$316.66	$404.44	$587.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $339.61 / $414.16 / $476.28	Professional		$339.61	$414.16	$476.28
United Facility/Professional Professional Modifier Low / Median / High Price $213.08 / $267.55 / $395.58	Professional		$213.08	$267.55	$395.58