Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.55 / $364.55 / $364.55	Facility		$364.55	$364.55	$364.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.70 / $364.55 / $413.68	Professional		$311.70	$364.55	$413.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $966.18 / $1,925.01 / $3,506.07	Facility		$966.18	$1,925.01	$3,506.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.42 / $638.35 / $861.77	Professional		$606.42	$638.35	$861.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $414.93 / $418.68 / $474.08	Facility		$414.93	$418.68	$474.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $510.68 / $510.68 / $510.68	Professional		$510.68	$510.68	$510.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $412.94	Facility		$412.94	$412.94	$412.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.94 / $412.94 / $739.88	Professional		$412.94	$412.94	$739.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $364.55 / $461.31 / $461.31	Facility		$364.55	$461.31	$461.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $364.55 / $461.31 / $670.26	Professional		$364.55	$461.31	$670.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $387.35 / $472.38 / $543.23	Professional		$387.35	$472.38	$543.23
United Facility/Professional Professional Modifier Low / Median / High Price $265.39 / $318.47 / $530.78	Professional		$265.39	$318.47	$530.78