Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.51 / $202.51 / $202.51	Facility		$202.51	$202.51	$202.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.22 / $202.51 / $202.51	Professional		$168.22	$202.51	$202.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.73 / $1,069.35 / $1,947.66	Facility		$536.73	$1,069.35	$1,947.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.88 / $354.61 / $478.72	Professional		$336.88	$354.61	$478.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $230.50 / $231.73	Facility		$224.98	$230.50	$231.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.69 / $283.69 / $283.69	Professional		$283.69	$283.69	$283.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $197.94	Facility		$197.94	$197.94	$197.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.94 / $197.94 / $411.00	Professional		$197.94	$197.94	$411.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $202.51 / $256.26 / $256.26	Facility		$202.51	$256.26	$256.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $190.25 / $256.26 / $372.34	Professional		$190.25	$256.26	$372.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $262.41 / $301.77	Professional		$223.04	$262.41	$301.77
United Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $166.53 / $253.81	Professional		$123.74	$166.53	$253.81