Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $176.65 / $207.82	Facility		$155.69	$176.65	$207.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.27 / $187.40 / $236.40	Professional		$133.27	$187.40	$236.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.22 / $341.80 / $402.69	Professional		$297.22	$341.80	$402.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.32 / $115.70 / $307.32	Facility		$110.32	$115.70	$307.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.34 / $225.34 / $225.34	Professional		$225.34	$225.34	$225.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.72 / $212.72 / $415.60	Professional		$212.72	$212.72	$415.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $199.13 / $240.96	Professional		$155.69	$199.13	$240.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.51 / $188.60 / $216.11	Professional		$172.51	$188.60	$216.11
United Facility/Professional Professional Modifier Low / Median / High Price $192.34 / $228.87 / $306.31	Professional		$192.34	$228.87	$306.31