Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.15 / $79.15 / $79.15	Facility		$79.15	$79.15	$79.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $79.15 / $79.62	Professional		$68.59	$79.15	$79.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.78 / $417.96 / $761.25	Facility		$209.78	$417.96	$761.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $138.60 / $187.11	Professional		$131.66	$138.60	$187.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.09 / $90.09 / $104.67	Facility		$90.09	$90.09	$104.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.88 / $110.88 / $110.88	Professional		$110.88	$110.88	$110.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $89.65	Facility		$89.65	$89.65	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $89.65 / $160.50	Professional		$89.65	$89.65	$160.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $79.15 / $100.16 / $100.16	Facility		$79.15	$100.16	$100.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $100.16 / $155.88	Professional		$79.15	$100.16	$155.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $102.56 / $117.94	Professional		$84.09	$102.56	$117.94
United Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $66.26 / $99.19	Professional		$54.14	$66.26	$99.19