Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $119.34 / $238.68	Facility		$50.75	$119.34	$238.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.88 / $50.75 / $56.57	Professional		$42.88	$50.75	$56.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $88.87 / $88.87	Facility		$88.87	$88.87	$88.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $88.87 / $119.97	Professional		$84.43	$88.87	$119.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.37 / $57.77 / $58.08	Facility		$56.37	$57.77	$58.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $71.09 / $71.09	Professional		$71.09	$71.09	$71.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $56.02	Facility		$56.02	$56.02	$56.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $73.89 / $128.91	Professional		$40.89	$73.89	$128.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $119.34 / $238.68	Facility		$64.20	$119.34	$238.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $64.20 / $93.31	Professional		$47.67	$64.20	$93.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $65.76 / $75.62	Professional		$53.92	$65.76	$75.62
United Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $41.73 / $63.60	Professional		$33.00	$41.73	$63.60