Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $68.20 / $80.25	Facility		$59.70	$68.20	$80.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $69.48 / $85.42	Professional		$51.91	$69.48	$85.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.16 / $126.04 / $157.32	Professional		$93.16	$126.04	$157.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.21 / $49.28 / $115.17	Facility		$45.21	$49.28	$115.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $88.09 / $88.09	Professional		$88.09	$88.09	$88.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $89.47 / $163.55	Professional		$89.47	$89.47	$163.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $72.95 / $88.91	Professional		$59.70	$72.95	$88.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $94.30 / $108.06	Professional		$86.25	$94.30	$108.06
United Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $83.86 / $99.70	Professional		$70.75	$83.86	$99.70