Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.15 / $603.02 / $1,206.04	Facility		$216.15	$603.02	$1,206.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.53 / $216.15 / $554.79	Professional		$194.53	$216.15	$554.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.87 / $1,141.36 / $2,078.82	Facility		$572.87	$1,141.36	$2,078.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.57 / $378.49 / $510.96	Professional		$359.57	$378.49	$510.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.12 / $369.41 / $562.16	Facility		$240.12	$369.41	$562.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.79 / $492.04 / $532.77	Professional		$302.79	$492.04	$532.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $211.27	Facility		$211.27	$211.27	$211.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.27 / $211.27 / $438.75	Professional		$211.27	$211.27	$438.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $273.51 / $1,067.04 / $1,206.04	Facility		$273.51	$1,067.04	$1,206.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $273.51 / $454.19	Professional		$203.06	$273.51	$454.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.66 / $280.08 / $322.09	Professional		$229.66	$280.08	$322.09
United Facility/Professional Professional Modifier Low / Median / High Price $132.07 / $177.74 / $270.89	Professional		$132.07	$177.74	$270.89