Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.91 / $183.91 / $183.91	Facility		$183.91	$183.91	$183.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.87 / $183.91 / $188.61	Professional		$163.87	$183.91	$188.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $487.43 / $971.14 / $1,768.77	Facility		$487.43	$971.14	$1,768.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.94 / $322.04 / $434.75	Professional		$305.94	$322.04	$434.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.39 / $209.33 / $221.16	Facility		$190.39	$209.33	$221.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.63 / $257.63 / $257.63	Professional		$257.63	$257.63	$257.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Facility		$181.86	$181.86	$181.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.94 / $181.86 / $373.50	Professional		$164.94	$181.86	$373.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $183.91 / $232.72 / $232.72	Facility		$183.91	$232.72	$232.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $183.91 / $232.72 / $338.14	Professional		$183.91	$232.72	$338.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.41 / $238.31 / $274.05	Professional		$195.41	$238.31	$274.05
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $143.90 / $189.98	Facility		$2.40	$143.90	$189.98
United Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $151.22 / $230.49	Professional		$113.69	$151.22	$230.49