Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $73.65 / $73.65	Facility		$15.15	$73.65	$73.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $73.65 / $73.65	Professional		$67.50	$73.65	$73.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.19 / $388.89 / $708.30	Facility		$195.19	$388.89	$708.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.51 / $128.96 / $174.10	Professional		$122.51	$128.96	$174.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.82 / $87.80 / $91.66	Facility		$83.82	$87.80	$91.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $103.17 / $103.17	Professional		$103.17	$103.17	$103.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $100.50	Facility		$77.09	$77.09	$100.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $77.09 / $149.63	Professional		$77.09	$77.09	$149.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $93.21 / $93.21	Facility		$15.15	$93.21	$93.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $93.21 / $135.40	Professional		$69.79	$93.21	$135.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $95.43 / $109.74	Professional		$78.25	$95.43	$109.74
United Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $60.74 / $92.32	Professional		$49.10	$60.74	$92.32