Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.03 / $251.03 / $251.03	Facility		$251.03	$251.03	$251.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.25 / $251.03 / $251.03	Professional		$191.25	$251.03	$251.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $665.30 / $1,325.54 / $2,414.23	Facility		$665.30	$1,325.54	$2,414.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.58 / $439.56 / $593.41	Professional		$417.58	$439.56	$593.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.51 / $285.70 / $313.13	Facility		$253.51	$285.70	$313.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $351.65 / $351.65 / $351.65	Professional		$351.65	$351.65	$351.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $305.27 / $305.27	Facility		$305.27	$305.27	$305.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.27 / $305.27 / $509.63	Professional		$305.27	$305.27	$509.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $251.03 / $317.64 / $317.64	Facility		$251.03	$317.64	$317.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $248.72 / $317.64 / $461.53	Professional		$248.72	$317.64	$461.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $266.72 / $325.27 / $374.06	Professional		$266.72	$325.27	$374.06
United Facility/Professional Professional Modifier Low / Median / High Price $159.30 / $210.14 / $303.16	Professional		$159.30	$210.14	$303.16