Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.42 / $89.42 / $89.42	Facility		$89.42	$89.42	$89.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $89.42 / $89.42	Professional		$81.84	$89.42	$89.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.98 / $472.15 / $859.95	Facility		$236.98	$472.15	$859.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.74 / $156.57 / $211.37	Professional		$148.74	$156.57	$211.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.77 / $103.91 / $111.98	Facility		$101.77	$103.91	$111.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $125.26 / $125.26	Professional		$125.26	$125.26	$125.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $85.16	Facility		$85.16	$85.16	$85.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.16 / $85.16 / $181.50	Professional		$85.16	$85.16	$181.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.42 / $113.16 / $113.16	Facility		$89.42	$113.16	$113.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $113.16 / $164.39	Professional		$83.18	$113.16	$164.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $115.86 / $133.23	Professional		$95.00	$115.86	$133.23
United Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $73.53 / $112.08	Professional		$53.24	$73.53	$112.08