Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $163.54 / $531.41	Facility		$153.97	$163.54	$531.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $141.01 / $163.96	Professional		$111.49	$141.01	$163.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $185.46 / $325.74	Facility		$133.00	$185.46	$325.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $122.97 / $131.58	Professional		$116.82	$122.97	$131.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.52 / $170.52 / $170.52	Facility		$170.52	$170.52	$170.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $134.34 / $253.03	Professional		$83.14	$134.34	$253.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $155.76 / $183.15 / $531.41	Facility		$155.76	$183.15	$531.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $210.27 / $235.50	Professional		$134.35	$210.27	$235.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.76 / $149.33 / $183.27	Professional		$135.76	$149.33	$183.27
United Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $163.96 / $268.43	Facility		$163.96	$163.96	$268.43
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $134.21 / $223.69	Professional		$68.86	$134.21	$223.69