Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.23 / $80.23 / $80.23	Facility		$80.23	$80.23	$80.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $70.30 / $80.23	Professional		$50.05	$70.30	$80.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.74 / $343.74 / $450.13	Facility		$343.74	$343.74	$450.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $89.04 / $126.54	Professional		$7.21	$89.04	$126.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $60.92 / $92.98	Facility		$6.26	$60.92	$92.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $56.24 / $114.44	Professional		$7.50	$56.24	$114.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $60.78 / $81.37	Facility		$60.78	$60.78	$81.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $104.07 / $109.50	Professional		$60.78	$104.07	$109.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $80.23 / $127.52	Professional		$10.34	$80.23	$127.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $30.00 / $104.07	Professional		$8.84	$30.00	$104.07
United Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $68.39 / $99.78	Professional		$39.60	$68.39	$99.78