Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.23 / $148.76 / $234.89	Facility		$50.23	$148.76	$234.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $104.54 / $125.27	Professional		$85.59	$104.54	$125.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.42 / $175.53 / $311.08	Facility		$122.42	$175.53	$311.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $117.44 / $158.54	Professional		$79.86	$117.44	$158.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.44 / $156.59 / $382.69	Facility		$117.44	$156.59	$382.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $101.78 / $156.59	Professional		$101.78	$101.78	$156.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $163.50 / $204.38	Professional		$79.34	$163.50	$204.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.23 / $139.51 / $273.35	Facility		$50.23	$139.51	$273.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $104.54 / $187.90	Professional		$74.65	$104.54	$187.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.69 / $129.66 / $175.04	Professional		$116.69	$129.66	$175.04
United Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $62.32 / $93.95	Professional		$33.33	$62.32	$93.95