Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.08 / $261.08 / $456.91	Facility		$261.08	$261.08	$456.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $261.08 / $400.00	Professional		$175.00	$261.08	$400.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.94 / $310.87 / $545.99	Facility		$222.94	$310.87	$545.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.81 / $206.12 / $220.55	Professional		$195.81	$206.12	$220.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $329.80 / $659.59	Facility		$274.83	$329.80	$659.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $343.54 / $371.02	Professional		$274.83	$343.54	$371.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $274.83 / $618.37	Professional		$125.81	$274.83	$618.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $220.69 / $261.08 / $479.75	Facility		$220.69	$261.08	$479.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $220.69 / $261.08 / $371.02	Professional		$220.69	$261.08	$371.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.56 / $250.31 / $307.20	Professional		$227.56	$250.31	$307.20
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $274.83	Professional		$115.43	$164.90	$274.83