Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $70.86 / $84.38	Professional		$48.06	$70.86	$84.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $87.00 / $95.00	Professional		$43.00	$87.00	$95.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $110.48 / $125.11	Professional		$96.07	$110.48	$125.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $90.00 / $138.35	Professional		$62.27	$90.00	$138.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $76.09 / $102.72	Professional		$63.35	$76.09	$102.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $133.57 / $187.42	Professional		$107.61	$133.57	$187.42
United Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $78.84 / $91.60	Professional		$68.44	$78.84	$91.60