Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.18 / $331.13 / $417.22	Facility		$163.18	$331.13	$417.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.27 / $331.13 / $331.13	Professional		$296.27	$331.13	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.75 / $394.27 / $692.48	Facility		$282.75	$394.27	$692.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $261.42 / $279.72	Professional		$248.35	$261.42	$279.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $418.27 / $836.54	Facility		$348.56	$418.27	$836.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $435.70 / $470.56	Professional		$348.56	$435.70	$470.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.54 / $182.15 / $485.13	Professional		$121.54	$182.15	$485.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $298.02 / $331.13 / $608.45	Facility		$298.02	$331.13	$608.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $298.02 / $371.34 / $430.75	Professional		$298.02	$371.34	$430.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.60 / $317.45 / $389.61	Professional		$288.60	$317.45	$389.61
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $209.14 / $395.04	Professional		$146.40	$209.14	$395.04