Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $102.20 / $120.00	Professional		$68.64	$102.20	$120.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.10 / $486.34 / $648.47	Facility		$38.10	$486.34	$648.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $14.03 / $182.29	Professional		$10.39	$14.03	$182.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $13.25 / $167.35	Facility		$8.36	$13.25	$167.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $20.30 / $132.60	Professional		$10.29	$20.30	$132.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $116.40	Facility		$88.70	$88.70	$116.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $102.70 / $196.88	Professional		$10.41	$102.70	$196.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $80.59 / $128.60	Professional		$6.70	$80.59	$128.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $15.18 / $15.18	Professional		$12.14	$15.18	$15.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $13.54 / $113.54	Professional		$5.93	$13.54	$113.54