Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.55 / $115.55 / $478.14	Facility		$115.55	$115.55	$478.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $115.55 / $136.16	Professional		$79.06	$115.55	$136.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.66 / $137.58 / $241.63	Facility		$98.66	$137.58	$241.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $91.22 / $97.61	Professional		$86.66	$91.22	$97.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.50 / $126.50 / $126.50	Facility		$126.50	$126.50	$126.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $99.68 / $251.96	Professional		$61.75	$99.68	$251.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $115.54 / $118.40 / $478.14	Facility		$115.54	$118.40	$478.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $155.87 / $167.03	Professional		$115.55	$155.87	$167.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.71 / $110.78 / $181.27	Professional		$100.71	$110.78	$181.27
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $99.41 / $165.68	Professional		$51.08	$99.41	$165.68