Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.97 / $128.97 / $128.97	Facility		$128.97	$128.97	$128.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $128.97 / $128.97	Professional		$109.76	$128.97	$128.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.83 / $681.04 / $1,240.40	Facility		$341.83	$681.04	$1,240.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.55 / $225.84 / $304.88	Professional		$214.55	$225.84	$304.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.80 / $146.80 / $146.80	Facility		$146.80	$146.80	$146.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.67 / $180.67 / $180.67	Professional		$180.67	$180.67	$180.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Facility		$141.12	$141.12	$141.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $187.78 / $327.19	Professional		$103.02	$187.78	$327.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.97 / $163.19 / $163.19	Facility		$128.97	$163.19	$163.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $127.16 / $163.19 / $237.13	Professional		$127.16	$163.19	$237.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.03 / $167.12 / $192.18	Professional		$137.03	$167.12	$192.18
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $112.42 / $174.22	Professional		$88.22	$112.42	$174.22