Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $76.04 / $190.83	Facility		$76.04	$76.04	$190.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $72.08 / $91.50	Professional		$48.06	$72.08	$91.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $134.41 / $166.26	Facility		$70.00	$134.41	$166.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $87.00 / $95.00	Professional		$43.00	$87.00	$95.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $96.24 / $126.96	Facility		$76.09	$96.24	$126.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $110.48 / $125.11	Professional		$96.07	$110.48	$125.11
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 $62.27 / $90.00 / $138.35	Professional		$62.27	$90.00	$138.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $76.09 / $190.83	Facility		$76.04	$76.09	$190.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $76.09 / $113.64	Professional		$64.02	$76.09	$113.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $133.57 / $187.42	Professional		$107.61	$133.57	$187.42
United Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $78.84 / $92.75	Professional		$67.66	$78.84	$92.75