Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $79.84 / $213.71	Facility		$76.04	$79.84	$213.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $70.86 / $109.78	Professional		$49.11	$70.86	$109.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $127.08 / $157.19	Facility		$70.00	$127.08	$157.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $83.37 / $95.00	Professional		$43.00	$83.37	$95.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.44 / $93.88 / $130.88	Facility		$78.44	$93.88	$130.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $107.74 / $122.04	Professional		$93.69	$107.74	$122.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $65.00 / $65.00	Facility		$53.50	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $83.82 / $134.53	Professional		$60.89	$83.82	$134.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $90.20 / $216.22	Facility		$76.04	$90.20	$216.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $77.56 / $111.37	Professional		$58.55	$77.56	$111.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $100.04 / $140.27	Professional		$81.30	$100.04	$140.27
United Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $78.98 / $91.67	Professional		$70.16	$78.98	$91.67