Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $87.08 / $434.70	Facility		$78.37	$87.08	$434.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $87.08 / $96.36	Professional		$62.33	$87.08	$96.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $103.69 / $182.11	Facility		$74.36	$103.69	$182.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $68.75 / $73.56	Professional		$65.31	$68.75	$73.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.33 / $95.33 / $219.98	Facility		$95.33	$95.33	$219.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.74 / $123.74 / $123.74	Professional		$123.74	$123.74	$123.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $75.14 / $141.46	Professional		$46.46	$75.14	$141.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.66 / $88.64 / $429.93	Facility		$81.66	$88.64	$429.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $109.99 / $124.75	Professional		$75.11	$109.99	$124.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $83.47 / $102.45	Professional		$75.89	$83.47	$102.45
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $75.04 / $125.06	Professional		$38.50	$75.04	$125.06