Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.44 / $60.44 / $60.44	Facility		$60.44	$60.44	$60.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $60.44 / $68.59	Professional		$54.68	$60.44	$68.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.19 / $319.17 / $581.32	Facility		$160.19	$319.17	$581.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $105.84 / $142.88	Professional		$100.55	$105.84	$142.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.80 / $68.80 / $71.51	Facility		$68.80	$68.80	$71.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $84.67 / $84.67	Professional		$84.67	$84.67	$84.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Facility		$68.45	$68.45	$68.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $68.45 / $122.63	Professional		$68.45	$68.45	$122.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.44 / $76.48 / $76.48	Facility		$60.44	$76.48	$76.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $76.48 / $111.13	Professional		$59.44	$76.48	$111.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $78.31 / $90.06	Professional		$64.22	$78.31	$90.06
United Facility/Professional Facility Modifier Low / Median / High Price $119.95 / $141.12 / $141.12	Facility		$119.95	$141.12	$141.12
United Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $50.60 / $75.75	Professional		$41.34	$50.60	$75.75