Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.44 / $250.92 / $486.30	Facility		$250.44	$250.92	$486.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $250.92 / $253.35	Professional		$243.61	$250.92	$253.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.00 / $542.49 / $1,012.41	Facility		$283.00	$542.49	$1,012.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.79 / $248.20 / $335.07	Professional		$235.79	$248.20	$335.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.35 / $158.35 / $158.35	Facility		$158.35	$158.35	$158.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $194.52 / $194.52	Professional		$194.52	$194.52	$194.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.54 / $238.54 / $243.61	Facility		$238.54	$238.54	$243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.73 / $243.61 / $243.61	Professional		$227.73	$243.61	$243.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $280.63 / $696.85	Facility		$243.61	$280.63	$696.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $250.44 / $280.63	Professional		$243.61	$250.44	$280.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $200.40 / $235.77	Professional		$200.40	$200.40	$235.77
United Facility/Professional Professional Modifier Low / Median / High Price $186.95 / $243.61 / $267.97	Professional		$186.95	$243.61	$267.97