Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.50 / $105.50 / $105.50	Facility		$105.50	$105.50	$105.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.04 / $92.28 / $105.50	Professional		$67.04	$92.28	$105.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.43 / $460.43 / $602.94	Facility		$460.43	$460.43	$602.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $94.16 / $169.49	Professional		$11.93	$94.16	$169.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $81.61 / $117.81	Facility		$8.36	$81.61	$117.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $75.34 / $144.99	Professional		$10.05	$75.34	$144.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $81.17 / $81.17	Facility		$81.17	$81.17	$81.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $81.17 / $114.51	Professional		$66.75	$81.17	$114.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $100.44 / $163.11	Professional		$13.10	$100.44	$163.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $56.73 / $66.75	Professional		$31.03	$56.73	$66.75
United Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $86.64 / $126.43	Professional		$51.25	$86.64	$126.43