Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.08 / $358.08 / $358.08	Facility		$358.08	$358.08	$358.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $268.56 / $358.08	Professional		$143.10	$268.56	$358.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.04 / $1,266.58 / $2,447.16	Facility		$637.04	$1,266.58	$2,447.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $47.31 / $60.83	Professional		$42.81	$47.31	$60.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $31.71 / $52.65	Facility		$29.29	$31.71	$52.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $36.04 / $38.68	Professional		$36.04	$36.04	$38.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $66.81 / $592.28	Professional		$38.47	$66.81	$592.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $219.96 / $358.08	Facility		$22.00	$219.96	$358.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $219.96 / $1,622.16	Professional		$22.00	$219.96	$1,622.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $28.33 / $39.66	Professional		$23.23	$28.33	$39.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $23.02 / $32.07	Professional		$17.26	$23.02	$32.07