Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.97 / $354.97 / $354.97	Facility		$354.97	$354.97	$354.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $354.97 / $354.97	Professional		$278.27	$354.97	$354.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.77 / $1,874.38 / $3,413.86	Facility		$940.77	$1,874.38	$3,413.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.48 / $621.55 / $839.11	Professional		$590.48	$621.55	$839.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.97 / $342.97 / $404.01	Facility		$342.97	$342.97	$404.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $497.25 / $497.25 / $497.25	Professional		$497.25	$497.25	$497.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $402.09	Facility		$402.09	$402.09	$402.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.09 / $402.09 / $720.75	Professional		$402.09	$402.09	$720.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $354.97 / $449.17 / $449.17	Facility		$354.97	$449.17	$449.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $354.97 / $449.17 / $699.10	Professional		$354.97	$449.17	$699.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $235.29	Professional		$30.00	$30.00	$235.29
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.64 / $297.14 / $438.73	Professional		$236.64	$297.14	$438.73