Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.64 / $98.64 / $98.64	Facility		$98.64	$98.64	$98.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $90.80 / $98.64	Professional		$69.03	$90.80	$98.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.32 / $471.32 / $617.20	Facility		$471.32	$471.32	$617.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $96.39 / $173.50	Professional		$9.89	$96.39	$173.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.35 / $62.65 / $83.54	Facility		$8.35	$62.65	$83.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $77.09 / $102.82	Professional		$10.28	$77.09	$102.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $78.94	Facility		$78.94	$78.94	$78.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $97.75 / $186.09	Professional		$78.94	$97.75	$186.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $89.95 / $128.52	Professional		$9.28	$89.95	$128.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $30.00 / $80.59	Professional		$6.85	$30.00	$80.59
United Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $62.49 / $98.56	Professional		$49.21	$62.49	$98.56