Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.99 / $185.99 / $185.99	Facility		$185.99	$185.99	$185.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.03 / $185.99 / $185.99	Professional		$159.03	$185.99	$185.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $492.95 / $982.15 / $1,788.82	Facility		$492.95	$982.15	$1,788.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.41 / $325.69 / $439.68	Professional		$309.41	$325.69	$439.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.70 / $211.70 / $241.27	Facility		$211.70	$211.70	$241.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.55 / $260.55 / $260.55	Professional		$260.55	$260.55	$260.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.51 / $203.51 / $377.63	Professional		$203.51	$203.51	$377.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $185.99 / $235.36 / $235.36	Facility		$185.99	$235.36	$235.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $182.50 / $235.36 / $341.97	Professional		$182.50	$235.36	$341.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.62 / $241.01 / $277.16	Professional		$197.62	$241.01	$277.16
United Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $162.47 / $250.38	Professional		$135.40	$162.47	$250.38