Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Facility		$77.39	$77.39	$77.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $70.26 / $77.39	Professional		$52.76	$70.26	$77.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.75 / $362.33 / $474.48	Facility		$271.75	$362.33	$474.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $93.86 / $133.38	Professional		$7.60	$93.86	$133.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $56.35 / $83.41	Facility		$6.42	$56.35	$83.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $59.29 / $90.42	Professional		$7.90	$59.29	$90.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $66.39 / $87.14	Facility		$66.39	$66.39	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $71.42 / $115.88	Professional		$71.42	$71.42	$115.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $77.39 / $113.02	Professional		$9.88	$77.39	$113.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $30.00 / $71.42	Professional		$6.06	$30.00	$71.42
United Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $50.95 / $80.88	Professional		$37.11	$50.95	$80.88