Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.63 / $185.63 / $185.63	Facility		$185.63	$185.63	$185.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $185.63 / $185.63	Professional		$147.63	$185.63	$185.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $491.97 / $980.19 / $1,785.25	Facility		$491.97	$980.19	$1,785.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.79 / $325.04 / $438.80	Professional		$308.79	$325.04	$438.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.23 / $191.31 / $211.28	Facility		$173.23	$191.31	$211.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.02 / $260.02 / $260.02	Professional		$260.02	$260.02	$260.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $166.52	Facility		$166.52	$166.52	$166.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $166.52 / $376.88	Professional		$166.52	$166.52	$376.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $185.63 / $234.89 / $234.89	Facility		$185.63	$234.89	$234.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $171.03 / $234.89 / $341.29	Professional		$171.03	$234.89	$341.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.23 / $240.53 / $276.60	Professional		$197.23	$240.53	$276.60
United Facility/Professional Professional Modifier Low / Median / High Price $110.80 / $155.38 / $232.63	Professional		$110.80	$155.38	$232.63