Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.26 / $82.26 / $82.26	Facility		$82.26	$82.26	$82.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $82.26 / $82.26	Professional		$68.55	$82.26	$82.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.01 / $434.37 / $791.13	Facility		$218.01	$434.37	$791.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $144.04 / $194.45	Professional		$136.84	$144.04	$194.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.98 / $93.63 / $102.41	Facility		$81.98	$93.63	$102.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $115.23 / $115.23	Professional		$115.23	$115.23	$115.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $99.25	Facility		$99.25	$99.25	$99.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $119.77 / $208.59	Professional		$72.45	$119.77	$208.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $82.26 / $104.09 / $104.09	Facility		$82.26	$104.09	$104.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $76.78 / $104.09 / $151.24	Professional		$76.78	$104.09	$151.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $106.59 / $122.57	Professional		$87.40	$106.59	$122.57
United Facility/Professional Facility Modifier Low / Median / High Price $1.03 / $82.54 / $96.25	Facility		$1.03	$82.54	$96.25
United Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $68.86 / $99.06	Professional		$52.05	$68.86	$99.06