Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.53 / $236.53 / $236.53	Facility		$236.53	$236.53	$236.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $236.53 / $236.53	Professional		$197.11	$236.53	$236.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $626.88 / $1,248.97 / $2,274.79	Facility		$626.88	$1,248.97	$2,274.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.46 / $414.17 / $559.13	Professional		$393.46	$414.17	$559.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.80 / $269.20 / $270.70	Facility		$262.80	$269.20	$270.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.34 / $331.34 / $331.34	Professional		$331.34	$331.34	$331.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $267.94	Facility		$267.94	$267.94	$267.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.54 / $267.94 / $480.00	Professional		$209.54	$267.94	$480.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $236.53 / $299.31 / $299.31	Facility		$236.53	$299.31	$299.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $236.53 / $299.31 / $465.83	Professional		$236.53	$299.31	$465.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $260.51 / $306.49 / $352.46	Professional		$260.51	$306.49	$352.46
United Facility/Professional Professional Modifier Low / Median / High Price $153.84 / $198.00 / $292.70	Professional		$153.84	$198.00	$292.70