Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.29 / $111.29 / $111.29	Facility		$111.29	$111.29	$111.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $111.29 / $116.46	Professional		$66.73	$111.29	$116.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.01 / $536.01 / $701.92	Facility		$402.01	$536.01	$701.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $109.62 / $197.32	Professional		$11.24	$109.62	$197.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $68.29 / $91.07	Facility		$8.97	$68.29	$91.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $87.06 / $116.08	Professional		$11.62	$87.06	$116.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Facility		$62.10	$62.10	$62.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $64.67 / $121.53	Professional		$62.10	$64.67	$121.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $105.62 / $146.16	Professional		$10.56	$105.62	$146.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $10.16 / $92.39	Professional		$7.57	$10.16	$92.39
United Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $65.90 / $97.26	Professional		$48.53	$65.90	$97.26