Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $84.67 / $84.67	Facility		$84.67	$84.67	$84.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $84.67 / $84.67	Professional		$66.95	$84.67	$84.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.39 / $447.06 / $814.25	Facility		$224.39	$447.06	$814.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $148.25 / $200.14	Professional		$140.84	$148.25	$200.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.74 / $96.36 / $103.70	Facility		$82.74	$96.36	$103.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.60 / $118.60 / $118.60	Professional		$118.60	$118.60	$118.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Facility		$104.21	$104.21	$104.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $123.27 / $214.69	Professional		$76.06	$123.27	$214.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $107.13 / $107.13	Facility		$84.67	$107.13	$107.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $107.13 / $155.66	Professional		$79.63	$107.13	$155.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $109.71 / $126.16	Professional		$89.96	$109.71	$126.16
United Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $68.80 / $100.72	Professional		$49.72	$68.80	$100.72