Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.05 / $265.05 / $413.48	Facility		$265.05	$265.05	$413.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $265.05 / $265.05	Professional		$139.50	$265.05	$265.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.32 / $315.58 / $554.28	Facility		$226.32	$315.58	$554.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.79 / $209.25 / $223.90	Professional		$198.79	$209.25	$223.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $414.39 / $681.85	Facility		$279.00	$414.39	$681.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $348.75 / $376.65	Professional		$279.00	$348.75	$376.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $141.38 / $1,200.00	Professional		$50.00	$141.38	$1,200.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $131.85 / $265.05 / $487.03	Facility		$131.85	$265.05	$487.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.85 / $147.66 / $334.80	Professional		$131.85	$147.66	$334.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.01 / $254.11 / $415.81	Professional		$231.01	$254.11	$415.81
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $84.67 / $167.40	Professional		$61.44	$84.67	$167.40