Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $100.68 / $100.68	Facility		$100.68	$100.68	$100.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $100.68 / $100.68	Professional		$87.26	$100.68	$100.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $531.62 / $968.26	Facility		$266.83	$531.62	$968.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.48 / $176.29 / $237.99	Professional		$167.48	$176.29	$237.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.59 / $114.59 / $122.60	Facility		$114.59	$114.59	$122.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.03 / $141.03 / $141.03	Professional		$141.03	$141.03	$141.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $110.16 / $204.38	Professional		$110.16	$110.16	$204.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $127.40 / $127.40	Facility		$100.68	$127.40	$127.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.68 / $127.40 / $185.10	Professional		$100.68	$127.40	$185.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.96 / $130.44 / $150.01	Professional		$106.96	$130.44	$150.01
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $87.17 / $126.18	Professional		$68.86	$87.17	$126.18