Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.12 / $251.12 / $391.75	Facility		$251.12	$251.12	$391.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.40 / $251.12 / $396.50	Professional		$211.40	$251.12	$396.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.44 / $299.02 / $525.16	Facility		$214.44	$299.02	$525.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.35 / $198.26 / $212.14	Professional		$188.35	$198.26	$212.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.91 / $274.91 / $274.91	Facility		$274.91	$274.91	$274.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $144.88 / $402.68	Professional		$112.11	$144.88	$402.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $235.30 / $251.12 / $461.43	Facility		$235.30	$251.12	$461.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $211.40 / $251.12 / $356.86	Professional		$211.40	$251.12	$356.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.88 / $240.76 / $295.48	Professional		$218.88	$240.76	$295.48
United Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $246.93 / $343.64	Professional		$154.83	$246.93	$343.64