Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $55.85 / $87.50	Professional		$49.31	$55.85	$87.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $122.36 / $157.32	Professional		$110.70	$122.36	$157.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $82.87 / $174.69	Professional		$69.06	$82.87	$174.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $75.05 / $150.41	Professional		$38.86	$75.05	$150.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $79.79 / $127.77	Professional		$49.68	$79.79	$127.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $66.31 / $94.72	Professional		$53.89	$66.31	$94.72
United Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $68.20 / $95.49	Professional		$40.93	$68.20	$95.49