Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.12 / $70.81 / $70.81	Facility		$70.12	$70.81	$70.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $69.28 / $75.09	Professional		$57.50	$69.28	$75.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.59 / $102.59 / $102.59	Facility		$102.59	$102.59	$102.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.46 / $107.72 / $128.24	Professional		$97.46	$107.72	$128.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $97.71 / $97.71	Facility		$97.71	$97.71	$97.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.27 / $79.27 / $79.27	Facility		$79.27	$79.27	$79.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $61.30 / $95.73	Professional		$61.30	$61.30	$95.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.47 / $66.47 / $76.44	Facility		$66.47	$66.47	$76.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $70.81 / $98.34	Professional		$66.47	$70.81	$98.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $80.59 / $116.57	Professional		$66.16	$80.59	$116.57