Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.06 / $181.06 / $181.06	Facility		$181.06	$181.06	$181.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $181.06 / $181.06	Professional		$163.80	$181.06	$181.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.88 / $956.10 / $1,741.37	Facility		$479.88	$956.10	$1,741.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.20 / $317.05 / $428.02	Professional		$301.20	$317.05	$428.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.08 / $206.08 / $222.02	Facility		$206.08	$206.08	$222.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $253.64 / $253.64 / $253.64	Professional		$253.64	$253.64	$253.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $205.09 / $263.62	Professional		$179.39	$205.09	$263.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.06 / $229.12 / $229.12	Facility		$181.06	$229.12	$229.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $181.06 / $229.12 / $332.90	Professional		$181.06	$229.12	$332.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $234.62 / $269.81	Professional		$192.38	$234.62	$269.81
United Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $156.76 / $226.92	Professional		$123.85	$156.76	$226.92