Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $101.11 / $101.11	Facility		$101.11	$101.11	$101.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.63 / $101.11 / $101.11	Professional		$87.63	$101.11	$101.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.95 / $533.88 / $972.37	Facility		$267.95	$533.88	$972.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.19 / $177.04 / $239.00	Professional		$168.19	$177.04	$239.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.09 / $98.09 / $115.08	Facility		$98.09	$98.09	$115.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $141.63 / $141.63	Professional		$141.63	$141.63	$141.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Facility		$97.79	$97.79	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $97.79 / $205.13	Professional		$97.79	$97.79	$205.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $127.94 / $127.94	Facility		$101.11	$127.94	$127.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $127.94 / $185.89	Professional		$92.68	$127.94	$185.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $131.01 / $150.66	Professional		$107.42	$131.01	$150.66
United Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $74.61 / $95.52	Facility		$1.24	$74.61	$95.52
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $83.14 / $119.40	Professional		$58.94	$83.14	$119.40