Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.54 / $105.54 / $105.54	Facility		$105.54	$105.54	$105.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $92.32 / $105.54	Professional		$66.84	$92.32	$105.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.07 / $459.07 / $601.16	Facility		$459.07	$459.07	$601.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $93.89 / $168.99	Professional		$9.15	$93.89	$168.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $81.37 / $118.65	Facility		$8.34	$81.37	$118.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $75.11 / $146.03	Professional		$10.02	$75.11	$146.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $109.27	Facility		$81.62	$81.62	$109.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $102.00 / $139.47	Professional		$81.62	$102.00	$139.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $100.40 / $164.36	Professional		$13.19	$100.40	$164.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $86.47 / $139.47	Professional		$11.43	$86.47	$139.47
United Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $87.26 / $127.34	Professional		$53.25	$87.26	$127.34