Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.44 / $93.03 / $93.03	Facility		$80.44	$93.03	$93.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $75.73 / $93.03	Professional		$61.08	$75.73	$93.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $101.09 / $101.09	Facility		$63.00	$101.09	$101.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.04 / $106.14 / $126.36	Professional		$96.04	$106.14	$126.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $132.86	Facility		$15.00	$15.00	$132.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $90.28 / $250.58	Professional		$66.81	$90.28	$250.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $79.63 / $79.63 / $93.03	Facility		$79.63	$79.63	$93.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $80.44 / $105.27	Professional		$67.56	$80.44	$105.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $61.81 / $75.00	Professional		$30.00	$61.81	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $94.88 / $134.97	Professional		$73.31	$94.88	$134.97