Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.58 / $199.58 / $251.47	Facility		$199.58	$199.58	$251.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $193.35 / $237.74	Professional		$119.23	$193.35	$237.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.76 / $569.30 / $1,670.30	Facility		$329.76	$569.30	$1,670.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $88.78 / $336.37	Professional		$43.00	$88.78	$336.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.22 / $214.36 / $290.33	Facility		$184.22	$214.36	$290.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $214.36 / $246.51 / $279.58	Professional		$214.36	$246.51	$279.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $53.50 / $65.00	Facility		$53.50	$53.50	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.65 / $234.06 / $668.74	Professional		$162.65	$234.06	$668.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $184.22 / $199.58 / $243.06	Facility		$184.22	$199.58	$243.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $166.48 / $199.58 / $269.83	Professional		$166.48	$199.58	$269.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $234.63 / $325.41	Professional		$188.91	$234.63	$325.41
United Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $215.80 / $317.05	Professional		$168.72	$215.80	$317.05