Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.74 / $105.74 / $105.74	Facility		$105.74	$105.74	$105.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $105.74 / $109.57	Professional		$72.41	$105.74	$109.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.73 / $488.40 / $651.21	Facility		$49.73	$488.40	$651.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $101.70 / $183.06	Professional		$12.88	$101.70	$183.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.81 / $74.39 / $95.76	Facility		$8.81	$74.39	$95.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $81.36 / $122.12	Professional		$10.85	$81.36	$122.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $95.72 / $112.48	Professional		$45.00	$95.72	$112.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $105.74 / $152.65	Professional		$11.03	$105.74	$152.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.12 / $30.00 / $95.72	Professional		$8.12	$30.00	$95.72
United Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $71.68 / $109.25	Professional		$47.58	$71.68	$109.25