Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.47 / $198.47 / $347.32	Facility		$198.47	$198.47	$347.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $198.47 / $200.27	Professional		$167.14	$198.47	$200.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.48 / $236.32 / $415.06	Facility		$169.48	$236.32	$415.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $156.69 / $167.66	Professional		$148.86	$156.69	$167.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.28 / $217.28 / $217.28	Facility		$217.28	$217.28	$217.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.87 / $171.37 / $322.39	Professional		$105.87	$171.37	$322.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $198.47 / $198.47 / $364.69	Facility		$198.47	$198.47	$364.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $178.62 / $267.92 / $286.89	Professional		$178.62	$267.92	$286.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.99 / $190.28 / $233.53	Professional		$172.99	$190.28	$233.53
United Facility/Professional Facility Modifier Low / Median / High Price $87.75 / $188.03 / $250.70	Facility		$87.75	$188.03	$250.70
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $171.01 / $285.02	Professional		$87.75	$171.01	$285.02