Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.46 / $132.46 / $132.46	Facility		$132.46	$132.46	$132.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $132.46 / $137.88	Professional		$92.44	$132.46	$137.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $634.88 / $634.88 / $831.39	Facility		$634.88	$634.88	$831.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $17.98 / $233.71	Professional		$12.65	$17.98	$233.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $88.50 / $117.99	Facility		$11.25	$88.50	$117.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $103.87 / $145.22	Professional		$13.85	$103.87	$145.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $111.50	Facility		$111.50	$111.50	$111.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $111.50 / $193.50	Professional		$111.50	$111.50	$193.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $127.80 / $181.52	Professional		$13.12	$127.80	$181.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $64.48 / $138.68	Professional		$11.37	$64.48	$138.68
United Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $86.91 / $150.74	Professional		$60.99	$86.91	$150.74