Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.85 / $283.85 / $283.85	Facility		$283.85	$283.85	$283.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.54 / $283.85 / $283.85	Professional		$236.54	$283.85	$283.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.29 / $1,498.84 / $2,729.89	Facility		$752.29	$1,498.84	$2,729.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.18 / $497.03 / $670.99	Professional		$472.18	$497.03	$670.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $315.35 / $323.07 / $324.81	Facility		$315.35	$323.07	$324.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $397.62 / $397.62 / $397.62	Professional		$397.62	$397.62	$397.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $321.50	Facility		$321.50	$321.50	$321.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $413.27 / $720.47	Professional		$234.70	$413.27	$720.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $283.85 / $359.16 / $359.16	Facility		$283.85	$359.16	$359.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $283.85 / $359.16 / $559.04	Professional		$283.85	$359.16	$559.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $312.63 / $367.80 / $422.97	Professional		$312.63	$367.80	$422.97
United Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $237.61 / $346.36	Professional		$184.60	$237.61	$346.36