Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.79 / $119.80 / $125.79	Facility		$119.79	$119.80	$125.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.69 / $102.07 / $124.09	Professional		$79.69	$102.07	$124.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.27 / $445.62 / $902.45	Facility		$194.27	$445.62	$902.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $163.13 / $194.21	Professional		$147.60	$163.13	$194.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $165.08	Facility		$15.00	$15.00	$165.08
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 $77.00 / $116.89 / $302.39	Professional		$77.00	$116.89	$302.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $98.94 / $98.94 / $125.79	Facility		$98.94	$98.94	$125.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $112.51 / $141.86	Professional		$96.92	$112.51	$141.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $133.81 / $187.42	Professional		$109.37	$133.81	$187.42
United Facility/Professional Professional Modifier Low / Median / High Price $76.55 / $112.23 / $154.99	Professional		$76.55	$112.23	$154.99