Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $162.16	Facility		$162.16	$162.16	$162.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.55 / $162.16 / $162.16	Professional		$140.55	$162.16	$162.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.81 / $856.34 / $1,559.68	Facility		$429.81	$856.34	$1,559.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $283.97 / $383.36	Professional		$269.77	$283.97	$383.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.84 / $184.58 / $197.12	Facility		$177.84	$184.58	$197.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.18 / $227.18 / $227.18	Professional		$227.18	$227.18	$227.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $170.96	Facility		$170.96	$170.96	$170.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $236.11 / $411.56	Professional		$124.80	$236.11	$411.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $205.20 / $205.20	Facility		$162.16	$205.20	$205.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $205.20 / $298.16	Professional		$160.66	$205.20	$298.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.31 / $210.14 / $241.66	Professional		$172.31	$210.14	$241.66
United Facility/Professional Professional Modifier Low / Median / High Price $108.11 / $135.75 / $203.23	Professional		$108.11	$135.75	$203.23