Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.64 / $60.84 / $75.03	Facility		$58.64	$60.84	$75.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $53.21 / $65.80	Professional		$42.79	$53.21	$65.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.08 / $116.10 / $144.99	Facility		$78.08	$116.10	$144.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $77.18 / $90.00	Professional		$63.00	$77.18	$90.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $27.00	Facility		$15.00	$15.00	$27.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $65.00 / $65.00	Facility		$53.50	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $60.44 / $117.79	Professional		$36.65	$60.44	$117.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $60.71 / $150.66	Facility		$46.54	$60.71	$150.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $53.52 / $71.09	Professional		$46.54	$53.52	$71.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $33.09 / $46.32	Professional		$27.05	$33.09	$46.32
United Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $46.01 / $54.50	Professional		$41.89	$46.01	$54.50