Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.51 / $106.52 / $160.22	Facility		$106.51	$106.52	$160.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $106.52 / $106.73	Professional		$87.95	$106.52	$106.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $228.41 / $608.54	Facility		$167.65	$228.41	$608.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $143.80 / $184.88	Professional		$130.10	$143.80	$184.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.69 / $100.81 / $133.44	Facility		$84.69	$100.81	$133.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.69 / $110.10 / $140.13	Professional		$84.69	$110.10	$140.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $103.37 / $103.37	Facility		$103.37	$103.37	$103.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $118.96 / $235.02	Professional		$79.67	$118.96	$235.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $106.51 / $160.22	Facility		$96.58	$106.51	$160.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $101.07 / $137.13	Professional		$91.73	$101.07	$137.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $66.78 / $94.05	Professional		$54.68	$66.78	$94.05
United Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $106.67 / $153.66	Professional		$89.11	$106.67	$153.66