Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.07 / $166.07 / $259.07	Facility		$166.07	$166.07	$259.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $166.07 / $166.07	Professional		$150.34	$166.07	$166.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.81 / $197.74 / $347.30	Facility		$141.81	$197.74	$347.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.55 / $131.11 / $140.29	Professional		$124.55	$131.11	$140.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $259.63 / $427.22	Facility		$174.81	$259.63	$427.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $218.51 / $235.99	Professional		$174.81	$218.51	$235.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $88.61 / $243.02	Professional		$69.92	$88.61	$243.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $164.58 / $166.07 / $305.14	Facility		$164.58	$166.07	$305.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $164.58 / $215.81	Professional		$150.34	$164.58	$215.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $159.21 / $195.39	Professional		$144.74	$159.21	$195.39
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $175.08	Professional		$73.42	$104.89	$175.08