Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.41 / $66.43 / $78.15	Facility		$58.41	$66.43	$78.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $73.06 / $91.85	Professional		$54.40	$73.06	$91.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $130.21 / $153.94	Professional		$101.30	$130.21	$153.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.52 / $75.76 / $119.61	Facility		$41.52	$75.76	$119.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $85.82 / $85.82	Professional		$85.82	$85.82	$85.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $74.81 / $159.30	Professional		$74.81	$74.81	$159.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $74.89 / $89.60	Professional		$58.41	$74.89	$89.60
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 $74.26 / $88.33 / $106.91	Professional		$74.26	$88.33	$106.91