Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.92 / $188.80 / $294.52	Facility		$169.92	$188.80	$294.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.26 / $188.80 / $198.74	Professional		$153.26	$188.80	$198.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.38 / $222.79 / $394.85	Facility		$155.38	$222.79	$394.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $149.06 / $201.23	Professional		$101.36	$149.06	$201.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.06 / $198.74 / $485.71	Facility		$149.06	$198.74	$485.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $129.18 / $198.74	Professional		$129.18	$129.18	$198.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $207.38 / $259.22	Professional		$60.16	$207.38	$259.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.78 / $188.80 / $346.92	Facility		$100.78	$188.80	$346.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $149.06 / $238.48	Professional		$100.78	$149.06	$238.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $164.56 / $222.15	Professional		$148.10	$164.56	$222.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $79.09 / $119.24	Professional		$44.99	$79.09	$119.24