Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.09 / $188.09 / $526.36	Facility		$188.09	$188.09	$526.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.38 / $188.09 / $188.09	Professional		$158.38	$188.09	$188.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.61 / $223.95 / $393.34	Facility		$160.61	$223.95	$393.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $148.49 / $158.88	Professional		$141.07	$148.49	$158.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.91 / $205.91 / $205.91	Facility		$205.91	$205.91	$205.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $162.33 / $305.54	Professional		$100.39	$162.33	$305.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $188.09 / $235.11 / $526.36	Facility		$188.09	$235.11	$526.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $170.27 / $253.90 / $269.43	Professional		$170.27	$253.90	$269.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.93 / $180.32 / $221.30	Professional		$163.93	$180.32	$221.30
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $148.29 / $270.11	Professional		$83.16	$148.29	$270.11