Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.03 / $212.03 / $212.03	Facility		$212.03	$212.03	$212.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $212.03 / $212.03	Professional		$137.72	$212.03	$212.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.96 / $1,119.63 / $2,039.22	Facility		$561.96	$1,119.63	$2,039.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.72 / $371.28 / $501.23	Professional		$352.72	$371.28	$501.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.00 / $181.00 / $241.33	Facility		$181.00	$181.00	$241.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $297.02 / $297.02	Professional		$297.02	$297.02	$297.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $177.64	Facility		$177.64	$177.64	$177.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.64 / $177.64 / $430.50	Professional		$177.64	$177.64	$430.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $212.03 / $268.31 / $268.31	Facility		$212.03	$268.31	$268.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $185.55 / $268.31 / $389.84	Professional		$185.55	$268.31	$389.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.29 / $274.75 / $315.96	Professional		$225.29	$274.75	$315.96
United Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $177.50 / $246.97	Professional		$123.48	$177.50	$246.97