Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.46 / $135.50 / $296.80	Facility		$112.46	$135.50	$296.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $114.10 / $164.87	Professional		$75.59	$114.10	$164.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $161.33 / $283.35	Facility		$112.04	$161.33	$283.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $106.97 / $114.46	Professional		$101.62	$106.97	$114.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $211.84 / $348.57	Facility		$142.63	$211.84	$348.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $178.29 / $192.55	Professional		$142.63	$178.29	$192.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $105.28 / $217.34	Professional		$72.34	$105.28	$217.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $142.63 / $350.40	Facility		$121.95	$142.63	$350.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $142.63 / $192.55	Professional		$103.76	$142.63	$192.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.10 / $129.91 / $159.43	Professional		$118.10	$129.91	$159.43
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $105.01 / $185.42	Professional		$59.90	$105.01	$185.42