Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.29 / $125.29 / $125.29	Facility		$125.29	$125.29	$125.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $125.29 / $129.71	Professional		$85.42	$125.29	$129.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.66 / $586.66 / $768.24	Facility		$586.66	$586.66	$768.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $151.97 / $215.96	Professional		$12.73	$151.97	$215.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $89.15 / $118.89	Facility		$10.40	$89.15	$118.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $95.98 / $146.32	Professional		$12.80	$95.98	$146.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $100.30	Facility		$100.30	$100.30	$100.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $111.36 / $131.63	Professional		$100.30	$111.36	$131.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $125.29 / $182.90	Professional		$63.83	$125.29	$182.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $111.36 / $111.36	Professional		$68.48	$111.36	$111.36
United Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $90.20 / $148.94	Professional		$60.93	$90.20	$148.94