Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $78.59 / $78.59	Facility		$78.59	$78.59	$78.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $74.51 / $78.59	Professional		$49.93	$74.51	$78.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.89 / $342.89 / $449.02	Facility		$342.89	$342.89	$449.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $88.83 / $126.23	Professional		$6.83	$88.83	$126.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $60.40 / $97.96	Facility		$6.08	$60.40	$97.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $56.10 / $108.06	Professional		$7.48	$56.10	$108.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $81.41	Facility		$60.80	$60.80	$81.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $73.04 / $98.28	Professional		$60.80	$73.04	$98.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $78.59 / $126.89	Professional		$9.76	$78.59	$126.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $45.70 / $98.28	Professional		$8.05	$45.70	$98.28
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.58 / $94.22	Professional		$39.81	$64.58	$94.22