Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.64 / $249.84 / $329.00	Facility		$122.64	$249.84	$329.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.39 / $234.06 / $249.84	Professional		$210.39	$234.06	$249.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.33 / $297.48 / $522.47	Facility		$213.33	$297.48	$522.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.38 / $197.24 / $211.05	Professional		$187.38	$197.24	$211.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $390.62 / $631.17	Facility		$262.99	$390.62	$631.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $328.74 / $355.04	Professional		$262.99	$328.74	$355.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $147.38 / $365.87	Professional		$124.49	$147.38	$365.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $132.26 / $249.84 / $459.08	Facility		$132.26	$249.84	$459.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $249.84 / $252.47 / $315.58	Professional		$249.84	$252.47	$315.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.75 / $239.52 / $391.95	Professional		$217.75	$239.52	$391.95
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $157.79 / $341.89	Professional		$110.46	$157.79	$341.89