Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.68 / $70.68 / $70.68	Facility		$70.68	$70.68	$70.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $70.68 / $70.68	Professional		$58.11	$70.68	$70.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.32 / $373.21 / $679.74	Facility		$187.32	$373.21	$679.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.57 / $123.76 / $167.08	Professional		$117.57	$123.76	$167.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $71.61 / $80.44	Facility		$71.61	$71.61	$80.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $99.01 / $99.01	Professional		$99.01	$99.01	$99.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $68.84	Facility		$68.84	$68.84	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $102.90 / $179.53	Professional		$50.25	$102.90	$179.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.68 / $89.43 / $89.43	Facility		$70.68	$89.43	$89.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $89.43 / $130.47	Professional		$70.02	$89.43	$130.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $91.58 / $105.31	Professional		$75.09	$91.58	$105.31
United Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $59.17 / $88.57	Professional		$45.80	$59.17	$88.57