Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $81.44 / $81.44	Facility		$81.44	$81.44	$81.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $81.44 / $84.38	Professional		$54.81	$81.44	$84.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $369.69 / $492.92	Facility		$28.97	$369.69	$492.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $76.98 / $138.56	Professional		$7.90	$76.98	$138.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $59.88 / $79.84	Facility		$6.67	$59.88	$79.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $61.59 / $98.28	Professional		$8.21	$61.59	$98.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $66.38	Facility		$66.38	$66.38	$66.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $78.33 / $90.09	Professional		$66.38	$78.33	$90.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $81.44 / $122.85	Professional		$39.02	$81.44	$122.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $30.00 / $90.09	Professional		$7.65	$30.00	$90.09
United Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $58.73 / $85.69	Professional		$40.72	$58.73	$85.69