Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.64 / $194.64 / $194.64	Facility		$194.64	$194.64	$194.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $194.64 / $194.64	Professional		$161.69	$194.64	$194.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.85 / $1,027.78 / $1,871.92	Facility		$515.85	$1,027.78	$1,871.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.77 / $340.82 / $460.11	Professional		$323.77	$340.82	$460.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.24 / $221.53 / $222.73	Facility		$216.24	$221.53	$222.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.66 / $272.66 / $272.66	Professional		$272.66	$272.66	$272.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $227.96	Facility		$227.96	$227.96	$227.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.96 / $227.96 / $395.25	Professional		$227.96	$227.96	$395.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $194.64 / $246.29 / $246.29	Facility		$194.64	$246.29	$246.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $194.64 / $246.29 / $357.86	Professional		$194.64	$246.29	$357.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.81 / $252.21 / $290.04	Professional		$206.81	$252.21	$290.04
United Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $162.94 / $240.88	Professional		$118.93	$162.94	$240.88