Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.94 / $180.43 / $501.93	Facility		$175.94	$180.43	$501.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $185.20 / $400.00	Professional		$104.03	$185.20	$400.00
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 / $222.24 / $444.48	Facility		$185.20	$222.24	$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 $84.70 / $185.20 / $416.70	Professional		$84.70	$185.20	$416.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $180.43 / $403.52	Facility		$132.00	$180.43	$403.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $175.94 / $254.33	Professional		$88.85	$175.94	$254.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.35 / $168.68 / $207.02	Professional		$153.35	$168.68	$207.02
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $111.12 / $185.20	Professional		$77.78	$111.12	$185.20