Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.64 / $98.64 / $475.96	Facility		$98.64	$98.64	$475.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $98.64 / $98.64	Professional		$81.93	$98.64	$98.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.43 / $520.85 / $948.65	Facility		$261.43	$520.85	$948.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.08 / $172.72 / $233.17	Professional		$164.08	$172.72	$233.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.56 / $112.27 / $112.87	Facility		$109.56	$112.27	$112.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $138.18 / $138.18	Professional		$138.18	$138.18	$138.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $116.46	Facility		$116.46	$116.46	$116.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.46 / $116.46 / $200.25	Professional		$116.46	$116.46	$200.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $98.64 / $124.81 / $475.96	Facility		$98.64	$124.81	$475.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.50 / $124.81 / $181.35	Professional		$96.50	$124.81	$181.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.80 / $127.81 / $146.98	Professional		$104.80	$127.81	$146.98
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $81.11 / $123.62	Professional		$60.27	$81.11	$123.62