Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.99 / $357.99 / $357.99	Facility		$357.99	$357.99	$357.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.33 / $357.99 / $357.99	Professional		$298.33	$357.99	$357.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $948.78 / $1,890.33 / $3,442.91	Facility		$948.78	$1,890.33	$3,442.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.51 / $626.85 / $846.25	Professional		$595.51	$626.85	$846.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $397.67 / $407.45 / $409.65	Facility		$397.67	$407.45	$409.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.48 / $501.48 / $501.48	Professional		$501.48	$501.48	$501.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.51 / $405.51 / $405.51	Facility		$405.51	$405.51	$405.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.51 / $405.51 / $726.75	Professional		$405.51	$405.51	$726.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $357.99 / $453.00 / $453.00	Facility		$357.99	$453.00	$453.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $354.69 / $453.00 / $658.19	Professional		$354.69	$453.00	$658.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $394.28 / $463.87 / $533.45	Professional		$394.28	$463.87	$533.45
United Facility/Professional Professional Modifier Low / Median / High Price $238.66 / $299.68 / $448.66	Professional		$238.66	$299.68	$448.66