Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.76 / $146.76 / $146.76	Facility		$146.76	$146.76	$146.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $146.76 / $146.76	Professional		$121.72	$146.76	$146.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.96 / $774.95 / $1,411.44	Facility		$388.96	$774.95	$1,411.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.13 / $256.98 / $346.92	Professional		$244.13	$256.98	$346.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.40 / $167.04 / $186.11	Facility		$150.40	$167.04	$186.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.58 / $205.58 / $205.58	Professional		$205.58	$205.58	$205.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $166.23	Facility		$166.23	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.23 / $166.23 / $297.75	Professional		$166.23	$166.23	$297.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $146.76 / $185.71 / $185.71	Facility		$146.76	$185.71	$185.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $145.35 / $185.71 / $269.82	Professional		$145.35	$185.71	$269.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.93 / $190.17 / $218.69	Professional		$155.93	$190.17	$218.69
United Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $120.68 / $183.07	Professional		$90.38	$120.68	$183.07