Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.56 / $307.56 / $538.23	Facility		$307.56	$307.56	$538.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $307.56 / $307.56	Professional		$161.88	$307.56	$307.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.11 / $362.90 / $643.17	Facility		$253.11	$362.90	$643.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.11 / $242.81 / $327.79	Professional		$165.11	$242.81	$327.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.81 / $323.75 / $791.22	Facility		$242.81	$323.75	$791.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.44 / $210.44 / $323.75	Professional		$210.44	$210.44	$323.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $372.11 / $465.14	Professional		$97.55	$372.11	$465.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $307.56 / $565.14	Facility		$163.94	$307.56	$565.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $163.94 / $288.43 / $388.50	Professional		$163.94	$288.43	$388.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.26 / $268.07 / $361.89	Professional		$241.26	$268.07	$361.89
United Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $291.38 / $388.50	Facility		$135.97	$291.38	$388.50
United Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $104.64 / $194.25	Professional		$73.25	$104.64	$194.25