Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $286.27 / $452.03	Facility		$21.37	$286.27	$452.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $286.27 / $386.20	Professional		$196.48	$286.27	$386.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.45 / $340.87 / $598.67	Facility		$244.45	$340.87	$598.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.71 / $226.01 / $241.83	Professional		$214.71	$226.01	$241.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $361.62 / $723.24	Facility		$301.35	$361.62	$723.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $376.69 / $406.82	Professional		$301.35	$376.69	$406.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $301.35 / $678.04	Professional		$137.87	$301.35	$678.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $286.27 / $526.04	Facility		$21.37	$286.27	$526.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $271.22 / $512.29	Professional		$134.06	$271.22	$512.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.52 / $274.47 / $336.85	Professional		$249.52	$274.47	$336.85
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $180.81 / $301.35	Professional		$126.57	$180.81	$301.35