Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.20 / $258.20 / $258.20	Facility		$258.20	$258.20	$258.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.63 / $258.20 / $258.20	Professional		$189.63	$258.20	$258.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.33 / $1,363.44 / $2,483.28	Facility		$684.33	$1,363.44	$2,483.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.52 / $452.13 / $610.38	Professional		$429.52	$452.13	$610.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.22 / $251.36 / $293.88	Facility		$239.22	$251.36	$293.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $361.70 / $361.70 / $361.70	Professional		$361.70	$361.70	$361.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $292.48	Facility		$292.48	$292.48	$292.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.48 / $292.48 / $524.25	Professional		$292.48	$292.48	$524.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $258.20 / $326.74 / $326.74	Facility		$258.20	$326.74	$326.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $255.83 / $326.74 / $474.73	Professional		$255.83	$326.74	$474.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.35 / $334.58 / $384.76	Professional		$274.35	$334.58	$384.76
United Facility/Professional Professional Modifier Low / Median / High Price $151.30 / $216.15 / $302.11	Professional		$151.30	$216.15	$302.11