Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.44 / $177.44 / $177.44	Facility		$177.44	$177.44	$177.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.96 / $177.44 / $198.18	Professional		$149.96	$177.44	$198.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.26 / $936.95 / $1,706.49	Facility		$470.26	$936.95	$1,706.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.16 / $310.70 / $419.45	Professional		$295.16	$310.70	$419.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.78 / $198.78 / $201.96	Facility		$198.78	$198.78	$201.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.56 / $248.56 / $248.56	Professional		$248.56	$248.56	$248.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.02 / $197.02	Facility		$197.02	$197.02	$197.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.02 / $197.02 / $360.38	Professional		$197.02	$197.02	$360.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $177.44 / $224.53 / $224.53	Facility		$177.44	$224.53	$224.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $175.80 / $224.53 / $326.23	Professional		$175.80	$224.53	$326.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.53 / $229.92 / $264.40	Professional		$188.53	$229.92	$264.40
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $152.57 / $235.11	Professional		$127.14	$152.57	$235.11