Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.88 / $140.05 / $416.96	Facility		$68.88	$140.05	$416.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $127.06 / $164.52	Professional		$123.35	$127.06	$164.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.49 / $274.70 / $519.65	Facility		$152.49	$274.70	$519.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.66 / $119.64 / $119.64	Professional		$113.66	$119.64	$119.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.89 / $168.89 / $168.89	Facility		$168.89	$168.89	$168.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $123.36 / $123.36	Professional		$90.04	$123.36	$123.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $86.72 / $197.42 / $436.96	Facility		$86.72	$197.42	$436.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $127.06 / $148.03	Professional		$123.36	$127.06	$148.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.86 / $156.36 / $164.74	Professional		$141.86	$156.36	$164.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $130.87	Professional		$123.36	$123.36	$130.87