Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $78.36 / $235.84	Facility		$73.67	$78.36	$235.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $73.67 / $88.80	Professional		$72.23	$73.67	$88.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.41 / $159.27 / $301.30	Facility		$88.41	$159.27	$301.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $76.58 / $76.58	Professional		$72.75	$76.58	$76.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.92 / $97.92 / $97.92	Facility		$97.92	$97.92	$97.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $112.34	Professional		$71.52	$71.52	$112.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $107.28 / $210.33	Facility		$71.52	$107.28	$210.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $73.67 / $85.82	Professional		$71.52	$73.67	$85.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $84.39 / $85.05	Professional		$82.24	$84.39	$85.05
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $85.82	Professional		$71.52	$71.52	$85.82