Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $143.47 / $236.23	Facility		$70.09	$143.47	$236.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.47 / $85.05 / $158.34	Professional		$81.47	$85.05	$158.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.72 / $284.14 / $537.51	Facility		$157.72	$284.14	$537.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $64.31 / $67.70	Professional		$64.31	$64.31	$67.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.06 / $113.06 / $113.06	Facility		$113.06	$113.06	$113.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $106.03	Professional		$82.57	$82.57	$106.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $155.24 / $264.89	Facility		$82.58	$155.24	$264.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.83 / $84.90 / $148.09	Professional		$81.83	$84.90	$148.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $94.78 / $94.96	Professional		$88.73	$94.78	$94.96
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $87.62	Professional		$82.58	$82.58	$87.62