Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $104.10 / $104.10	Facility		$104.10	$104.10	$104.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $89.92 / $120.29	Professional		$78.02	$89.92	$120.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.62 / $52.62 / $52.62	Facility		$52.62	$52.62	$52.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $56.28 / $65.77	Professional		$49.99	$56.28	$65.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.00 / $578.01 / $731.88	Facility		$436.00	$578.01	$731.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $98.55 / $221.45	Professional		$72.15	$98.55	$221.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $76.95 / $104.10	Facility		$76.95	$76.95	$104.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $86.84 / $131.16	Professional		$75.94	$86.84	$131.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $575.41 / $575.41	Professional		$75.00	$575.41	$575.41
United Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $89.72 / $131.08	Professional		$73.31	$89.72	$131.08