Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.12 / $244.58 / $554.95	Facility		$220.12	$244.58	$554.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.34 / $233.44 / $244.58	Professional		$224.34	$233.44	$244.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.85 / $291.22 / $511.48	Facility		$208.85	$291.22	$511.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.44 / $193.09 / $206.61	Professional		$183.44	$193.09	$206.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $450.54 / $699.08	Facility		$257.45	$450.54	$699.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $321.81 / $347.56	Professional		$257.45	$321.81	$347.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $210.99 / $579.26	Professional		$130.93	$210.99	$579.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $244.58 / $449.42	Facility		$130.00	$244.58	$449.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $224.34 / $342.76 / $392.46	Professional		$224.34	$342.76	$392.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.17 / $234.48 / $287.77	Professional		$213.17	$234.48	$287.77
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $210.73 / $362.28	Professional		$108.13	$210.73	$362.28