Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.14 / $294.14 / $294.14	Facility		$294.14	$294.14	$294.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.40 / $294.14 / $295.07	Professional		$205.40	$294.14	$295.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.52 / $1,057.98 / $1,847.24	Facility		$108.52	$1,057.98	$1,847.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $288.49 / $519.28	Professional		$29.59	$288.49	$519.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $196.21 / $296.02	Facility		$25.01	$196.21	$296.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $230.79 / $321.95	Professional		$30.78	$230.79	$321.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $330.59	Facility		$267.62	$267.62	$330.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $275.64 / $330.59	Professional		$267.62	$275.64	$330.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $205.40 / $290.83 / $402.45	Professional		$205.40	$290.83	$402.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $6.81 / $30.00	Professional		$6.81	$6.81	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $198.33 / $280.44	Professional		$149.38	$198.33	$280.44