Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.29 / $75.29 / $1,221.95	Facility		$75.29	$75.29	$1,221.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $75.29 / $75.29	Professional		$62.75	$75.29	$75.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.55 / $397.58 / $724.12	Facility		$199.55	$397.58	$724.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $131.84 / $177.98	Professional		$125.25	$131.84	$177.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.64 / $85.70 / $86.17	Facility		$83.64	$85.70	$86.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $105.47 / $105.47	Professional		$105.47	$105.47	$105.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $104.66	Facility		$104.66	$104.66	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $104.66 / $153.00	Professional		$88.96	$104.66	$153.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.29 / $95.28 / $1,221.95	Facility		$75.29	$95.28	$1,221.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $95.28 / $138.43	Professional		$75.29	$95.28	$138.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $97.56 / $112.19	Professional		$82.92	$97.56	$112.19
United Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $63.03 / $94.36	Professional		$48.97	$63.03	$94.36