Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.21 / $220.21 / $220.21	Facility		$220.21	$220.21	$220.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $220.21 / $220.21	Professional		$152.13	$220.21	$220.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.63 / $1,162.82 / $2,117.87	Facility		$583.63	$1,162.82	$2,117.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.32 / $385.60 / $520.55	Professional		$366.32	$385.60	$520.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.98 / $245.51 / $250.64	Facility		$187.98	$245.51	$250.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.48 / $308.48 / $308.48	Professional		$308.48	$308.48	$308.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $180.71	Facility		$180.71	$180.71	$180.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.71 / $180.71 / $447.00	Professional		$180.71	$180.71	$447.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $220.21 / $278.64 / $278.64	Facility		$220.21	$278.64	$278.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.55 / $278.64 / $404.88	Professional		$208.55	$278.64	$404.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.97 / $285.33 / $328.14	Professional		$233.97	$285.33	$328.14
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.08 / $275.99	Professional		$120.23	$181.08	$275.99