Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.41 / $102.41 / $102.41	Facility		$102.41	$102.41	$102.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $102.00 / $102.41	Professional		$75.64	$102.00	$102.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.33 / $489.33 / $640.78	Facility		$489.33	$489.33	$640.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $100.07 / $135.09	Professional		$10.26	$100.07	$135.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $70.48 / $93.98	Facility		$9.27	$70.48	$93.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $80.04 / $106.74	Professional		$10.73	$80.04	$106.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Facility		$96.42	$96.42	$96.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $96.42 / $154.50	Professional		$83.66	$96.42	$154.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $93.40 / $133.43	Professional		$9.64	$93.40	$133.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $30.00 / $83.66	Professional		$7.12	$30.00	$83.66
United Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $63.79 / $95.49	Professional		$52.12	$63.79	$95.49