Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.86 / $91.86 / $105.14	Facility		$91.86	$91.86	$105.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.67 / $120.30 / $139.34	Professional		$110.67	$120.30	$139.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $90.86 / $117.95	Professional		$83.00	$90.86	$117.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.15 / $121.15 / $121.15	Facility		$121.15	$121.15	$121.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $150.06 / $262.10	Professional		$59.27	$150.06	$262.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.86 / $105.14 / $203.36	Facility		$91.86	$105.14	$203.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $146.79 / $196.38	Professional		$104.84	$146.79	$196.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $106.09 / $130.20	Professional		$96.45	$106.09	$130.20
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $151.22 / $179.05	Professional		$69.89	$151.22	$179.05