Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.16 / $144.16 / $144.16	Facility		$144.16	$144.16	$144.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $121.60 / $144.16	Professional		$96.80	$121.60	$144.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $685.69 / $914.23	Facility		$53.69	$685.69	$914.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $142.78 / $257.00	Professional		$13.91	$142.78	$257.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $14.16 / $158.96	Facility		$11.11	$14.16	$158.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $17.50 / $211.20	Professional		$14.50	$17.50	$211.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $64.17	Facility		$64.17	$64.17	$64.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $64.17 / $173.84	Professional		$14.75	$64.17	$173.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $144.16 / $181.30	Professional		$15.81	$144.16	$181.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $74.02 / $159.19	Professional		$13.04	$74.02	$159.19
United Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $78.34 / $152.63	Professional		$50.92	$78.34	$152.63