Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.80 / $220.80 / $220.80	Facility		$220.80	$220.80	$220.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $220.80 / $304.97	Professional		$169.90	$220.80	$304.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.57 / $959.47 / $1,747.52	Facility		$481.57	$959.47	$1,747.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.26 / $318.17 / $429.53	Professional		$302.26	$318.17	$429.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.81 / $206.81 / $243.63	Facility		$206.81	$206.81	$243.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $254.54 / $254.54 / $254.54	Professional		$254.54	$254.54	$254.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.03 / $382.03 / $476.34	Professional		$382.03	$382.03	$476.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $220.80 / $391.83 / $391.83	Facility		$220.80	$391.83	$391.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $220.80 / $334.07 / $432.71	Professional		$220.80	$334.07	$432.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $298.04 / $350.64 / $403.23	Professional		$298.04	$350.64	$403.23
United Facility/Professional Professional Modifier Low / Median / High Price $181.88 / $269.02 / $436.50	Professional		$181.88	$269.02	$436.50