Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $67.08 / $147.09	Facility		$67.06	$67.08	$147.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.64 / $68.40 / $125.86	Professional		$39.64	$68.40	$125.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.56 / $173.77 / $208.85	Facility		$123.56	$173.77	$208.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $115.53	Professional		$63.00	$90.00	$115.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $72.23 / $97.51	Facility		$15.00	$72.23	$97.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $82.86 / $93.90	Professional		$72.05	$82.86	$93.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $53.50 / $65.00	Facility		$53.50	$53.50	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $85.06 / $224.19	Professional		$63.69	$85.06	$224.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $70.43 / $147.09	Facility		$67.06	$70.43	$147.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.20 / $73.73 / $111.88	Professional		$58.20	$73.73	$111.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $66.84 / $93.71	Professional		$54.68	$66.84	$93.71
United Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $83.11 / $113.56	Professional		$61.60	$83.11	$113.56