Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.59 / $96.59 / $96.59	Facility		$96.59	$96.59	$96.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $96.59 / $98.48	Professional		$66.23	$96.59	$98.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.86 / $454.86 / $595.64	Facility		$454.86	$454.86	$595.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $117.83 / $167.44	Professional		$9.06	$117.83	$167.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $67.72 / $87.15	Facility		$8.06	$67.72	$87.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $74.42 / $111.14	Professional		$9.92	$74.42	$111.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $78.15	Facility		$78.15	$78.15	$78.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $78.15 / $102.57	Professional		$64.04	$78.15	$102.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $96.59 / $138.91	Professional		$12.40	$96.59	$138.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $30.00 / $64.04	Professional		$5.44	$30.00	$64.04
United Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $64.08 / $96.83	Professional		$43.49	$64.08	$96.83