Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $135.65 / $135.65	Facility		$135.65	$135.65	$135.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $151.33 / $310.44	Professional		$142.79	$151.33	$310.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.09 / $117.24 / $152.19	Professional		$107.09	$117.24	$152.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.31 / $156.31 / $156.31	Facility		$156.31	$156.31	$156.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $189.66 / $338.18	Professional		$76.17	$189.66	$338.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $135.65 / $262.38	Facility		$135.65	$135.65	$262.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $146.79 / $308.12	Professional		$135.27	$146.79	$308.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.45 / $136.89 / $168.00	Professional		$124.45	$136.89	$168.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $151.22 / $210.42	Professional		$90.18	$151.22	$210.42