Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.42 / $221.42 / $406.86	Facility		$221.42	$221.42	$406.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.44 / $221.42 / $450.00	Professional		$200.44	$221.42	$450.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.06 / $263.63 / $463.03	Facility		$189.06	$263.63	$463.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.06 / $174.80 / $187.04	Professional		$166.06	$174.80	$187.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.39 / $242.39 / $242.39	Facility		$242.39	$242.39	$242.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $165.92 / $324.47	Professional		$109.30	$165.92	$324.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $221.42 / $240.24 / $406.86	Facility		$221.42	$240.24	$406.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $221.42 / $275.77 / $396.21	Professional		$221.42	$275.77	$396.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $212.27 / $260.52	Professional		$192.98	$212.27	$260.52
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $176.03 / $293.38	Professional		$97.89	$176.03	$293.38