Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.94 / $310.94 / $310.94	Facility		$310.94	$310.94	$310.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $310.94 / $310.94	Professional		$259.12	$310.94	$310.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $824.08 / $1,641.87 / $2,990.39	Facility		$824.08	$1,641.87	$2,990.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.24 / $544.46 / $735.02	Professional		$517.24	$544.46	$735.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $345.42 / $353.90 / $355.82	Facility		$345.42	$353.90	$355.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $435.57 / $435.57 / $435.57	Professional		$435.57	$435.57	$435.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $388.32	Facility		$388.32	$388.32	$388.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.32 / $388.32 / $631.13	Professional		$388.32	$388.32	$631.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $310.94 / $393.45 / $393.45	Facility		$310.94	$393.45	$393.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $310.94 / $393.45 / $612.39	Professional		$310.94	$393.45	$612.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.27 / $260.29 / $389.68	Professional		$202.27	$260.29	$389.68