Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.03 / $98.70 / $124.36	Facility		$82.03	$98.70	$124.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $82.03 / $112.45	Professional		$65.25	$82.03	$112.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $217.73 / $625.66	Facility		$140.25	$217.73	$625.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.77 / $111.37 / $137.41	Professional		$100.77	$111.37	$137.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $87.81 / $93.96	Facility		$66.67	$87.81	$93.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $91.61 / $103.91	Professional		$79.66	$91.61	$103.91
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 $67.91 / $94.44 / $219.59	Professional		$67.91	$94.44	$219.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $82.03 / $98.70 / $128.63	Facility		$82.03	$98.70	$128.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $87.81 / $114.15	Professional		$68.06	$87.81	$114.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $67.25 / $93.71	Professional		$54.68	$67.25	$93.71
United Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $99.34 / $141.79	Professional		$77.42	$99.34	$141.79