Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.51 / $90.51 / $90.51	Facility		$90.51	$90.51	$90.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $88.50 / $90.51	Professional		$61.57	$88.50	$90.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $415.31 / $553.76	Facility		$32.53	$415.31	$553.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $109.54 / $155.66	Professional		$8.43	$109.54	$155.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.49 / $64.80 / $83.36	Facility		$7.49	$64.80	$83.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $69.19 / $106.30	Professional		$9.22	$69.19	$106.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $73.97 / $97.09	Facility		$73.97	$73.97	$97.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.97 / $83.33 / $97.09	Professional		$73.97	$83.33	$97.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $90.51 / $132.88	Professional		$11.53	$90.51	$132.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $51.66 / $83.33	Professional		$6.83	$51.66	$83.33
United Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $60.01 / $80.68	Professional		$41.12	$60.01	$80.68