Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.03 / $86.03 / $86.03	Facility		$86.03	$86.03	$86.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $86.03 / $86.03	Professional		$70.54	$86.03	$86.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.00 / $454.27 / $827.38	Facility		$228.00	$454.27	$827.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $150.63 / $203.36	Professional		$143.11	$150.63	$203.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $92.27 / $97.92	Facility		$76.34	$92.27	$97.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Professional		$120.51	$120.51	$120.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $97.44	Facility		$97.44	$97.44	$97.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $97.44 / $174.75	Professional		$97.44	$97.44	$174.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $86.03 / $108.85 / $108.85	Facility		$86.03	$108.85	$108.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $108.85 / $158.16	Professional		$82.79	$108.85	$158.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $111.47 / $128.19	Professional		$91.40	$111.47	$128.19
United Facility/Professional Facility Modifier Low / Median / High Price $133.11 / $156.60 / $156.60	Facility		$133.11	$156.60	$156.60
United Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $72.01 / $100.20	Professional		$48.83	$72.01	$100.20