Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.84 / $98.84 / $124.53	Facility		$98.84	$98.84	$124.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $90.78 / $111.39	Professional		$66.47	$90.78	$111.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.35 / $191.76 / $230.47	Facility		$136.35	$191.76	$230.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $133.86 / $159.36	Professional		$121.12	$133.86	$159.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $79.41 / $107.20	Facility		$15.00	$79.41	$107.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $91.20 / $103.23	Professional		$79.30	$91.20	$103.23
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 $75.00 / $95.28 / $218.60	Professional		$75.00	$95.28	$218.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $98.84 / $110.69	Facility		$81.59	$98.84	$110.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $91.68 / $117.95	Professional		$80.73	$91.68	$117.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $67.06 / $93.71	Professional		$54.68	$67.06	$93.71
United Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $96.86 / $131.50	Professional		$76.08	$96.86	$131.50