Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.03 / $116.03 / $116.03	Facility		$116.03	$116.03	$116.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $110.65 / $116.03	Professional		$80.75	$110.65	$116.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.95 / $554.57 / $726.22	Facility		$415.95	$554.57	$726.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $143.66 / $204.15	Professional		$11.63	$143.66	$204.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $78.13 / $104.18	Facility		$9.83	$78.13	$104.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $90.74 / $128.22	Professional		$12.10	$90.74	$128.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $122.74	Facility		$93.52	$93.52	$122.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $101.31 / $123.22	Professional		$93.52	$101.31	$123.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $115.82 / $160.28	Professional		$15.12	$115.82	$160.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.29 / $11.13 / $101.31	Professional		$8.29	$11.13	$101.31
United Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $75.06 / $101.10	Professional		$51.53	$75.06	$101.10