Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $161.94 / $161.94	Facility		$161.94	$161.94	$161.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.74 / $161.94 / $161.94	Professional		$127.74	$161.94	$161.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.22 / $855.16 / $1,557.53	Facility		$429.22	$855.16	$1,557.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.39 / $283.58 / $382.83	Professional		$269.39	$283.58	$382.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.24 / $149.01 / $184.33	Facility		$138.24	$149.01	$184.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.86 / $226.86 / $226.86	Professional		$226.86	$226.86	$226.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $150.11	Facility		$150.11	$150.11	$150.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.82 / $150.11 / $328.88	Professional		$147.82	$150.11	$328.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $204.93 / $204.93	Facility		$161.94	$204.93	$204.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $152.31 / $204.93 / $297.75	Professional		$152.31	$204.93	$297.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.07 / $209.85 / $241.32	Professional		$172.07	$209.85	$241.32
United Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $130.81 / $202.97	Professional		$88.42	$130.81	$202.97