Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.88 / $102.88 / $102.88	Facility		$102.88	$102.88	$102.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $102.88 / $102.88	Professional		$93.07	$102.88	$102.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.66 / $543.23 / $989.40	Facility		$272.66	$543.23	$989.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.13 / $180.14 / $243.19	Professional		$171.13	$180.14	$243.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.09 / $117.09 / $156.12	Facility		$117.09	$117.09	$156.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.11 / $144.11 / $144.11	Professional		$144.11	$144.11	$144.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $149.79 / $261.08	Professional		$85.07	$149.79	$261.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $102.88 / $130.18 / $130.18	Facility		$102.88	$130.18	$130.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $130.18 / $207.16	Professional		$102.88	$130.18	$207.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $133.30 / $153.29	Professional		$109.30	$133.30	$153.29
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $89.87 / $128.93	Professional		$70.37	$89.87	$128.93