Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.95 / $347.95 / $347.95	Facility		$347.95	$347.95	$347.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.95 / $347.95 / $347.95	Professional		$289.95	$347.95	$347.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.15 / $1,837.31 / $3,346.35	Facility		$891.15	$1,837.31	$3,346.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.88 / $578.80 / $822.51	Professional		$57.88	$578.80	$822.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $386.54 / $396.03 / $398.18	Facility		$386.54	$396.03	$398.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $487.42 / $487.42 / $487.42	Professional		$487.42	$487.42	$487.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $401.27	Facility		$401.27	$401.27	$401.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.27 / $401.27 / $706.50	Professional		$401.27	$401.27	$706.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $347.95 / $440.30 / $440.30	Facility		$347.95	$440.30	$440.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $347.95 / $440.30 / $669.00	Professional		$347.95	$440.30	$669.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.28 / $291.27 / $418.43	Professional		$226.28	$291.27	$418.43