Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.94 / $196.94 / $307.23	Facility		$196.94	$196.94	$307.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $196.94 / $196.94	Professional		$178.29	$196.94	$196.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.17 / $234.49 / $411.85	Facility		$168.17	$234.49	$411.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.71 / $155.47 / $166.36	Professional		$147.71	$155.47	$166.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.60 / $215.60 / $215.60	Facility		$215.60	$215.60	$215.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $130.46 / $288.47	Professional		$102.38	$130.46	$288.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $196.94 / $196.94 / $361.88	Facility		$196.94	$196.94	$361.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $265.86 / $282.12	Professional		$177.25	$265.86	$282.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $188.81 / $231.72	Professional		$171.65	$188.81	$231.72
United Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $207.31 / $339.40	Facility		$207.31	$207.31	$339.40
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $124.39 / $282.83	Professional		$87.07	$124.39	$282.83