Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.03 / $84.03 / $84.03	Facility		$84.03	$84.03	$84.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $84.03 / $98.44	Professional		$58.41	$84.03	$98.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.13 / $401.13 / $525.29	Facility		$401.13	$401.13	$525.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $82.04 / $147.66	Professional		$10.94	$82.04	$147.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $56.78 / $73.06	Facility		$7.31	$56.78	$73.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $65.63 / $109.61	Professional		$8.75	$65.63	$109.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $95.86	Facility		$73.04	$73.04	$95.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $76.69 / $95.86	Professional		$73.04	$76.69	$95.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $81.34 / $116.46	Professional		$8.42	$81.34	$116.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $47.54 / $76.69	Professional		$6.29	$47.54	$76.69
United Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $48.89 / $77.41	Facility		$6.52	$48.89	$77.41
United Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $54.69 / $83.35	Professional		$39.46	$54.69	$83.35