Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.15 / $314.10 / $627.21	Facility		$156.15	$314.10	$627.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.27 / $187.92 / $236.91	Professional		$184.27	$187.92	$236.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.53 / $406.28 / $768.56	Facility		$225.53	$406.28	$768.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.53 / $77.40 / $77.40	Professional		$73.53	$77.40	$77.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.79 / $249.79 / $249.79	Facility		$249.79	$249.79	$249.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.76 / $182.45 / $206.79	Professional		$120.76	$182.45	$206.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $337.31 / $649.29	Facility		$182.45	$337.31	$649.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $187.92 / $218.94	Professional		$182.45	$187.92	$218.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $219.37 / $225.15	Professional		$209.81	$219.37	$225.15
United Facility/Professional Facility Modifier Low / Median / High Price $182.33 / $182.33 / $182.33	Facility		$182.33	$182.33	$182.33
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $193.56	Professional		$182.45	$182.45	$193.56