Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.59 / $140.59 / $140.59	Facility		$140.59	$140.59	$140.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.16 / $140.59 / $140.71	Professional		$117.16	$140.59	$140.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.61 / $742.38 / $1,352.12	Facility		$372.61	$742.38	$1,352.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.87 / $246.18 / $332.34	Professional		$233.87	$246.18	$332.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.46 / $160.02 / $184.49	Facility		$145.46	$160.02	$184.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $196.94 / $196.94	Professional		$196.94	$196.94	$196.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $169.96	Facility		$169.96	$169.96	$169.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $204.70 / $356.72	Professional		$124.07	$204.70	$356.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $140.59 / $177.90 / $177.90	Facility		$140.59	$177.90	$177.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $140.59 / $177.90 / $258.48	Professional		$140.59	$177.90	$258.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $182.17 / $209.49	Professional		$149.37	$182.17	$209.49
United Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $117.69 / $181.63	Professional		$93.04	$117.69	$181.63