Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.01 / $127.01 / $127.01	Facility		$127.01	$127.01	$127.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $144.62 / $211.09	Professional		$112.58	$144.62	$211.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.27 / $109.77 / $142.49	Professional		$100.27	$109.77	$142.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.36 / $146.36 / $146.36	Facility		$146.36	$146.36	$146.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $181.31 / $316.64	Professional		$71.48	$181.31	$316.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $127.01 / $127.01 / $245.66	Facility		$127.01	$127.01	$245.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $126.66 / $146.79 / $239.24	Professional		$126.66	$146.79	$239.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $128.18 / $157.31	Professional		$116.53	$128.18	$157.31
United Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $150.41 / $197.02	Professional		$84.44	$150.41	$197.02