Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $232.12	Facility		$232.12	$232.12	$232.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $232.12 / $232.12	Professional		$166.43	$232.12	$232.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.19 / $1,225.69 / $2,232.39	Facility		$615.19	$1,225.69	$2,232.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.13 / $406.45 / $548.71	Professional		$386.13	$406.45	$548.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.61 / $260.38 / $264.19	Facility		$220.61	$260.38	$264.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.16 / $325.16 / $325.16	Professional		$325.16	$325.16	$325.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $244.07	Facility		$244.07	$244.07	$244.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.07 / $244.07 / $471.38	Professional		$244.07	$244.07	$471.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $293.72 / $293.72	Facility		$232.12	$293.72	$293.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $232.12 / $293.72 / $426.77	Professional		$232.12	$293.72	$426.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $246.63 / $300.77 / $345.88	Professional		$246.63	$300.77	$345.88
United Facility/Professional Facility Modifier Low / Median / High Price $381.02 / $448.26 / $448.26	Facility		$381.02	$448.26	$448.26
United Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $194.31 / $279.54	Professional		$139.77	$194.31	$279.54