Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.14 / $232.14 / $232.14	Facility		$232.14	$232.14	$232.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $232.14 / $232.14	Professional		$192.55	$232.14	$232.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.25 / $1,225.81 / $2,232.61	Facility		$615.25	$1,225.81	$2,232.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.17 / $406.49 / $548.76	Professional		$386.17	$406.49	$548.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $237.32 / $237.32 / $264.22	Facility		$237.32	$237.32	$264.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.19 / $325.19 / $325.19	Professional		$325.19	$325.19	$325.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $274.64 / $274.64	Facility		$274.64	$274.64	$274.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $274.64 / $471.38	Professional		$274.64	$274.64	$471.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $232.14 / $293.75 / $293.75	Facility		$232.14	$293.75	$293.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $230.87 / $293.75 / $426.81	Professional		$230.87	$293.75	$426.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $246.65 / $300.80 / $345.92	Professional		$246.65	$300.80	$345.92
United Facility/Professional Professional Modifier Low / Median / High Price $151.79 / $194.33 / $288.88	Professional		$151.79	$194.33	$288.88