Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Facility		$131.35	$131.35	$131.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $131.35 / $131.35	Professional		$111.98	$131.35	$131.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.41 / $693.59 / $1,263.25	Facility		$336.41	$693.59	$1,263.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.50 / $230.00 / $310.50	Professional		$218.50	$230.00	$310.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.11 / $141.32 / $149.50	Facility		$133.11	$141.32	$149.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $184.00 / $184.00	Professional		$184.00	$184.00	$184.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $116.51	Facility		$116.51	$116.51	$116.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.61 / $116.51 / $266.63	Professional		$105.61	$116.51	$266.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $166.22 / $166.22	Facility		$131.35	$166.22	$166.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $166.22 / $241.50	Professional		$123.54	$166.22	$241.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $170.20 / $195.73	Professional		$144.66	$170.20	$195.73
United Facility/Professional Facility Modifier Low / Median / High Price $1.54 / $92.18 / $118.02	Facility		$1.54	$92.18	$118.02
United Facility/Professional Professional Modifier Low / Median / High Price $72.83 / $108.01 / $153.69	Professional		$72.83	$108.01	$153.69