Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.57 / $234.57 / $365.93	Facility		$234.57	$234.57	$365.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.63 / $234.57 / $246.92	Professional		$178.63	$234.57	$246.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.04 / $276.77 / $490.55	Facility		$193.04	$276.77	$490.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $185.19 / $250.01	Professional		$125.93	$185.19	$250.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.19 / $246.92 / $603.45	Facility		$185.19	$246.92	$603.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $160.50 / $246.92	Professional		$160.50	$160.50	$246.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $257.63 / $322.02	Professional		$60.16	$257.63	$322.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $234.57 / $431.02	Facility		$130.63	$234.57	$431.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $182.94 / $296.30	Professional		$130.63	$182.94	$296.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $204.45 / $276.00	Professional		$184.00	$204.45	$276.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.32 / $98.28 / $148.15	Professional		$58.32	$98.28	$148.15