Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.27 / $266.27 / $266.27	Facility		$266.27	$266.27	$266.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $140.13 / $151.60	Professional		$118.02	$140.13	$151.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $115.07 / $149.36	Professional		$105.11	$115.07	$149.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $153.41 / $153.41	Facility		$153.41	$153.41	$153.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $189.97 / $331.92	Professional		$74.95	$189.97	$331.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $133.13 / $257.51 / $266.27	Facility		$133.13	$257.51	$266.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $146.79 / $250.78	Professional		$118.02	$146.79	$250.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.15 / $134.36 / $164.90	Professional		$122.15	$134.36	$164.90
United Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $151.22 / $249.53	Professional		$88.51	$151.22	$249.53