Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $95.80 / $218.25	Facility		$67.20	$95.80	$218.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $101.79 / $194.36	Professional		$77.16	$101.79	$194.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $109.31 / $190.32	Facility		$77.70	$109.31	$190.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $71.84 / $76.88	Professional		$68.26	$71.84	$76.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $142.28 / $234.13	Facility		$95.80	$142.28	$234.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $119.75 / $129.33	Professional		$95.80	$119.75	$129.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $85.61 / $146.10	Professional		$54.01	$85.61	$146.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $113.29 / $235.60	Facility		$81.91	$113.29	$235.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $113.29 / $191.36	Professional		$91.01	$113.29	$191.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $87.25 / $107.08	Professional		$79.31	$87.25	$107.08
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $65.73 / $119.75	Professional		$40.24	$65.73	$119.75