Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $77.20 / $77.20	Facility		$77.20	$77.20	$77.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $77.20 / $77.20	Professional		$60.41	$77.20	$77.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.59 / $407.62 / $742.41	Facility		$204.59	$407.62	$742.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $135.16 / $182.48	Professional		$128.41	$135.16	$182.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.65 / $86.07 / $87.86	Facility		$74.65	$86.07	$87.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.14 / $108.14 / $108.14	Professional		$108.14	$108.14	$108.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $87.42	Facility		$87.42	$87.42	$87.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $87.42 / $156.75	Professional		$87.42	$87.42	$156.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $97.68 / $97.68	Facility		$77.20	$97.68	$97.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $97.68 / $141.91	Professional		$72.59	$97.68	$141.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $100.03 / $115.03	Professional		$82.02	$100.03	$115.03
United Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $62.35 / $89.91	Professional		$39.60	$62.35	$89.91