Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.30 / $512.82 / $1,069.15	Facility		$261.30	$512.82	$1,069.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.14 / $261.30 / $261.30	Professional		$194.14	$261.30	$261.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.78 / $302.69 / $538.26	Facility		$219.78	$302.69	$538.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $189.99 / $256.49	Professional		$180.49	$189.99	$256.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.22 / $216.94 / $276.11	Facility		$197.22	$216.94	$276.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.39 / $280.26 / $433.20	Professional		$256.39	$280.26	$433.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.77 / $278.93 / $527.74	Professional		$226.77	$278.93	$527.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $261.30 / $617.32 / $1,069.15	Facility		$261.30	$617.32	$1,069.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $235.17 / $335.69	Professional		$189.42	$235.17	$335.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $213.42 / $213.42	Professional		$30.00	$213.42	$213.42
United Facility/Professional Professional Modifier Low / Median / High Price $185.18 / $268.33 / $343.73	Professional		$185.18	$268.33	$343.73