Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.62 / $256.62 / $256.62	Facility		$256.62	$256.62	$256.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.95 / $233.11 / $256.62	Professional		$166.95	$233.11	$256.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,146.61 / $1,146.61 / $1,501.52	Facility		$1,146.61	$1,146.61	$1,501.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $297.02 / $422.09	Professional		$22.85	$297.02	$422.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $202.49 / $272.45	Facility		$20.32	$202.49	$272.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $187.60 / $335.34	Professional		$25.02	$187.60	$335.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $273.18	Facility		$204.05	$204.05	$273.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $224.16 / $349.88	Professional		$204.05	$224.16	$349.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $251.76 / $390.82	Professional		$30.29	$251.76	$390.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $138.97 / $224.16	Professional		$18.38	$138.97	$224.16
United Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $143.01 / $234.50	Facility		$17.48	$143.01	$234.50
United Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $219.29 / $292.39	Professional		$131.80	$219.29	$292.39