Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.16 / $207.16 / $346.95	Facility		$207.16	$207.16	$346.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.81 / $207.16 / $207.16	Professional		$178.81	$207.16	$207.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $244.44 / $433.23	Facility		$170.48	$244.44	$433.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $163.55 / $220.79	Professional		$111.21	$163.55	$220.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.96 / $228.96 / $228.96	Facility		$228.96	$228.96	$228.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $250.69 / $331.95	Professional		$122.11	$250.69	$331.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $207.15 / $207.16 / $380.66	Facility		$207.15	$207.16	$380.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $207.16 / $209.34 / $261.67	Professional		$207.16	$209.34	$261.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.49 / $180.55 / $243.74	Professional		$162.49	$180.55	$243.74
United Facility/Professional Facility Modifier Low / Median / High Price $109.03 / $218.06 / $218.06	Facility		$109.03	$218.06	$218.06
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $130.84 / $138.69	Professional		$91.59	$130.84	$138.69