Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $130.15 / $163.98	Facility		$44.22	$130.15	$163.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $123.30 / $329.01	Professional		$39.31	$123.30	$329.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.13 / $154.97 / $272.17	Facility		$111.13	$154.97	$272.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.61 / $102.75 / $109.94	Professional		$97.61	$102.75	$109.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $203.48 / $334.82	Facility		$137.00	$203.48	$334.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $171.25 / $184.95	Professional		$137.00	$171.25	$184.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $74.28 / $190.81	Professional		$59.67	$74.28	$190.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $117.14 / $130.15 / $239.15	Facility		$117.14	$130.15	$239.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $131.52 / $227.76	Professional		$102.75	$131.52	$227.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $124.78 / $204.19	Professional		$113.44	$124.78	$204.19
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $137.00	Professional		$57.54	$82.20	$137.00