Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $250.65 / $400.00	Professional		$38.45	$250.65	$400.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.55 / $285.10 / $356.38	Professional		$269.55	$285.10	$356.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $259.66 / $278.23	Professional		$216.38	$259.66	$278.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.55 / $739.25 / $1,211.78	Professional		$200.55	$739.25	$1,211.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $164.15 / $299.73	Professional		$54.61	$164.15	$299.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.18 / $231.96 / $331.71	Professional		$184.18	$231.96	$331.71
United Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $46.41 / $96.19	Professional		$38.51	$46.41	$96.19