Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.44 / $366.26 / $501.25	Professional		$212.44	$366.26	$501.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,999.55 / $2,334.08 / $3,179.65	Facility		$1,999.55	$2,334.08	$3,179.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $120.14 / $221.05	Professional		$32.68	$120.14	$221.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.09 / $164.82 / $181.34	Facility		$122.09	$164.82	$181.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.10 / $271.55 / $288.76	Professional		$228.10	$271.55	$288.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.08 / $497.87 / $864.16	Professional		$265.08	$497.87	$864.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $301.33 / $2,877.00 / $7,219.20	Facility		$301.33	$2,877.00	$7,219.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $259.00 / $405.49	Professional		$158.47	$259.00	$405.49
Health Alliance Plan Facility/Professional Professional Modifier 22 Low / Median / High Price $453.52 / $453.52 / $453.52	Professional	22	$453.52	$453.52	$453.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $238.67 / $337.91	Professional		$192.13	$238.67	$337.91
United Facility/Professional Professional Modifier Low / Median / High Price $234.67 / $307.06 / $397.57	Professional		$234.67	$307.06	$397.57