Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.59 / $183.59 / $286.39	Facility		$183.59	$183.59	$286.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $183.59 / $183.59	Professional		$154.60	$183.59	$183.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.77 / $218.60 / $383.93	Facility		$156.77	$218.60	$383.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $144.94 / $155.09	Professional		$137.69	$144.94	$155.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $231.90 / $463.80	Facility		$193.25	$231.90	$463.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $241.56 / $260.89	Professional		$193.25	$241.56	$260.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $118.63 / $268.67	Professional		$88.33	$118.63	$268.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $183.59 / $183.59 / $337.35	Facility		$183.59	$183.59	$337.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $183.59 / $185.52 / $231.90	Professional		$183.59	$185.52	$231.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.02 / $176.02 / $288.03	Professional		$160.02	$176.02	$288.03
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $115.95 / $197.19	Professional		$81.17	$115.95	$197.19