Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Facility		$76.14	$76.14	$76.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $63.67 / $76.14	Professional		$46.29	$63.67	$76.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.26 / $347.26 / $454.74	Facility		$347.26	$347.26	$454.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $94.69 / $127.83	Professional		$89.96	$94.69	$127.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $57.87 / $77.16	Facility		$6.16	$57.87	$77.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $56.82 / $94.96	Professional		$7.58	$56.82	$94.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $79.36	Facility		$64.23	$64.23	$79.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.94 / $75.94 / $138.75	Professional		$60.94	$75.94	$138.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $64.29 / $112.98	Professional		$6.40	$64.29	$112.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $30.00 / $87.06	Professional		$7.13	$30.00	$87.06
United Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $57.37 / $95.62	Professional		$36.58	$57.37	$95.62