Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.46 / $255.46 / $255.46	Facility		$255.46	$255.46	$255.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.89 / $255.46 / $255.46	Professional		$212.89	$255.46	$255.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $677.04 / $1,348.94 / $2,456.86	Facility		$677.04	$1,348.94	$2,456.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.95 / $447.32 / $603.88	Professional		$424.95	$447.32	$603.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.79 / $290.76 / $292.31	Facility		$283.79	$290.76	$292.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $357.86 / $357.86 / $357.86	Professional		$357.86	$357.86	$357.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $318.35	Facility		$318.35	$318.35	$318.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $318.35 / $518.63	Professional		$232.40	$318.35	$518.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $255.46 / $323.25 / $323.25	Facility		$255.46	$323.25	$323.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $255.46 / $323.25 / $503.12	Professional		$255.46	$323.25	$503.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.36 / $331.02 / $380.67	Professional		$281.36	$331.02	$380.67
United Facility/Professional Professional Modifier Low / Median / High Price $170.31 / $212.36 / $320.14	Professional		$170.31	$212.36	$320.14