Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.93 / $184.73 / $388.02	Facility		$175.93	$184.73	$388.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $175.94 / $312.45	Professional		$96.30	$175.94	$312.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.22 / $209.49 / $367.93	Facility		$150.22	$209.49	$367.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.96 / $138.90 / $148.62	Professional		$131.96	$138.90	$148.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $275.07 / $444.48	Facility		$185.20	$275.07	$444.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $231.50 / $250.02	Professional		$185.20	$231.50	$250.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $93.92 / $164.29	Professional		$83.38	$93.92	$164.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $175.93 / $177.79 / $388.02	Facility		$175.93	$177.79	$388.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $177.79 / $250.02	Professional		$175.94	$177.79	$250.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.35 / $168.68 / $276.02	Professional		$153.35	$168.68	$276.02
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $185.20	Professional		$77.78	$111.12	$185.20