Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.15 / $162.69 / $567.91	Facility		$130.15	$162.69	$567.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $130.15 / $333.94	Professional		$45.00	$130.15	$333.94
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 / $164.40 / $328.80	Facility		$137.00	$164.40	$328.80
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 $22.29 / $137.00 / $390.00	Professional		$22.29	$137.00	$390.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $102.30 / $164.40 / $567.91	Facility		$102.30	$164.40	$567.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.39 / $122.06 / $209.36	Professional		$59.39	$122.06	$209.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $124.78 / $153.14	Professional		$113.44	$124.78	$153.14
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $137.00	Professional		$57.54	$82.20	$137.00