Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $101.40 / $111.55	Professional		$93.21	$101.40	$111.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $45.63 / $142.59	Facility		$45.63	$45.63	$142.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $192.50 / $273.77	Professional		$45.63	$192.50	$273.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.06 / $155.33 / $170.89	Facility		$115.06	$155.33	$170.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.53 / $136.35 / $151.76	Professional		$114.53	$136.35	$151.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $190.33 / $209.86	Professional		$110.69	$190.33	$209.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $108.39 / $136.57	Professional		$93.21	$108.39	$136.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $266.39 / $266.39	Professional		$30.00	$266.39	$266.39