Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $125.72 / $147.91	Facility		$110.84	$125.72	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $147.78 / $192.47	Professional		$94.03	$147.78	$192.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.28 / $259.16 / $298.02	Professional		$209.28	$259.16	$298.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $140.28 / $257.26	Facility		$81.84	$140.28	$257.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.29 / $159.29 / $159.29	Professional		$159.29	$159.29	$159.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.77 / $171.77 / $293.82	Professional		$171.77	$171.77	$293.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $147.90 / $192.47	Professional		$110.84	$147.90	$192.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $125.05 / $143.89	Professional		$116.74	$125.05	$143.89
United Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $189.96 / $232.33	Professional		$158.16	$189.96	$232.33