Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.09 / $93.09 / $93.09	Facility		$93.09	$93.09	$93.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $90.99 / $93.09	Professional		$62.79	$90.99	$93.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.13 / $423.57 / $564.76	Facility		$43.13	$423.57	$564.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $88.20 / $158.76	Professional		$11.17	$88.20	$158.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $68.06 / $87.60	Facility		$7.64	$68.06	$87.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $70.56 / $111.70	Professional		$9.41	$70.56	$111.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $74.67	Facility		$74.67	$74.67	$74.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $87.53 / $98.00	Professional		$74.67	$87.53	$98.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $93.09 / $139.63	Professional		$10.09	$93.09	$139.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $30.00 / $87.53	Professional		$7.44	$30.00	$87.53
United Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $64.40 / $83.94	Professional		$41.90	$64.40	$83.94