Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.74 / $132.74 / $132.74	Facility		$132.74	$132.74	$132.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $132.74 / $139.22	Professional		$119.75	$132.74	$139.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.80 / $700.92 / $1,276.59	Facility		$351.80	$700.92	$1,276.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.81 / $232.43 / $313.77	Professional		$220.81	$232.43	$313.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.66 / $150.66 / $151.08	Facility		$150.66	$150.66	$151.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $185.94 / $185.94	Professional		$185.94	$185.94	$185.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Facility		$144.84	$144.84	$144.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $193.25 / $337.03	Professional		$105.73	$193.25	$337.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $132.74 / $167.95 / $167.95	Facility		$132.74	$167.95	$167.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $132.74 / $167.95 / $244.05	Professional		$132.74	$167.95	$244.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.04 / $172.00 / $197.80	Professional		$141.04	$172.00	$197.80
United Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $115.64 / $166.33	Professional		$90.55	$115.64	$166.33