Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.28 / $113.28 / $113.28	Facility		$113.28	$113.28	$113.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $113.28 / $114.94	Professional		$77.09	$113.28	$114.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $137.16 / $194.93	Professional		$11.11	$137.16	$194.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.39 / $80.97 / $109.26	Facility		$9.39	$80.97	$109.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $86.64 / $132.90	Professional		$11.55	$86.64	$132.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $124.23	Facility		$94.65	$94.65	$124.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $114.25 / $124.23	Professional		$94.65	$114.25	$124.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $113.28 / $158.12	Professional		$12.00	$113.28	$158.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $30.00 / $121.81	Professional		$9.98	$30.00	$121.81
United Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $83.50 / $117.63	Professional		$55.35	$83.50	$117.63