Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.24 / $143.24 / $143.24	Facility		$143.24	$143.24	$143.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $139.78 / $143.24	Professional		$91.80	$139.78	$143.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.46 / $492.10 / $933.68	Facility		$251.46	$492.10	$933.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $128.94 / $232.09	Professional		$16.32	$128.94	$232.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $83.81 / $122.09	Facility		$11.17	$83.81	$122.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $103.15 / $137.54	Professional		$13.75	$103.15	$137.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $120.30	Facility		$120.30	$120.30	$120.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $120.30 / $163.68	Professional		$102.26	$120.30	$163.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $143.24 / $174.65	Facility		$17.47	$143.24	$174.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $137.88 / $174.65	Professional		$17.19	$137.88	$174.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $15.28 / $132.94	Professional		$10.89	$15.28	$132.94
United Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $108.98 / $198.90	Professional		$70.81	$108.98	$198.90