Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.03 / $135.03 / $135.03	Facility		$135.03	$135.03	$135.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.45 / $135.03 / $138.32	Professional		$115.45	$135.03	$138.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.87 / $713.01 / $1,298.61	Facility		$357.87	$713.01	$1,298.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.62 / $236.44 / $319.19	Professional		$224.62	$236.44	$319.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.35 / $153.69 / $162.26	Facility		$144.35	$153.69	$162.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.15 / $189.15 / $189.15	Professional		$189.15	$189.15	$189.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $138.76	Facility		$138.76	$138.76	$138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.76 / $138.76 / $274.13	Professional		$138.76	$138.76	$274.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $135.03 / $170.87 / $170.87	Facility		$135.03	$170.87	$170.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $170.87 / $248.26	Professional		$133.79	$170.87	$248.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $174.97 / $201.21	Professional		$143.47	$174.97	$201.21
United Facility/Professional Facility Modifier Low / Median / High Price $251.68 / $296.08 / $296.08	Facility		$251.68	$296.08	$296.08
United Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $113.04 / $170.72	Professional		$92.33	$113.04	$170.72