Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.36 / $78.18 / $235.12	Facility		$75.36	$78.18	$235.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $76.65 / $88.52	Professional		$75.36	$76.65	$88.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.82 / $169.02 / $319.74	Facility		$93.82	$169.02	$319.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $77.33 / $77.33	Professional		$73.45	$77.33	$77.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.92 / $103.92 / $103.92	Facility		$103.92	$103.92	$103.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $75.91 / $75.91	Professional		$46.28	$75.91	$75.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.36 / $98.47 / $209.69	Facility		$75.36	$98.47	$209.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $75.91 / $91.09	Professional		$75.36	$75.91	$91.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $84.38 / $87.29	Professional		$84.13	$84.38	$87.29
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $80.53	Professional		$75.91	$75.91	$80.53