Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.20 / $93.20 / $154.47	Facility		$93.20	$93.20	$154.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $93.20 / $93.20	Professional		$75.23	$93.20	$93.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $110.97 / $194.91	Facility		$76.70	$110.97	$194.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $73.58 / $99.33	Professional		$50.03	$73.58	$99.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $103.02 / $103.02	Facility		$103.02	$103.02	$103.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $112.75 / $140.94	Professional		$49.52	$112.75	$140.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $93.20 / $171.26	Facility		$85.76	$93.20	$171.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $93.20 / $117.73	Professional		$84.37	$93.20	$117.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $81.23 / $109.67	Professional		$30.00	$81.23	$109.67
United Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $53.02 / $90.64	Professional		$38.07	$53.02	$90.64