Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.89 / $88.89 / $88.89	Facility		$88.89	$88.89	$88.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $88.89 / $88.89	Professional		$75.00	$88.89	$88.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.59 / $469.38 / $854.89	Facility		$235.59	$469.38	$854.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.87 / $155.65 / $210.13	Professional		$147.87	$155.65	$210.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $101.17 / $103.27	Facility		$89.69	$101.17	$103.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $124.52 / $124.52	Professional		$124.52	$124.52	$124.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Facility		$86.21	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $86.21 / $180.38	Professional		$86.21	$86.21	$180.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $88.89 / $112.48 / $112.48	Facility		$88.89	$112.48	$112.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $112.48 / $163.43	Professional		$82.85	$112.48	$163.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.44 / $115.18 / $132.45	Professional		$94.44	$115.18	$132.45
United Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $73.09 / $111.41	Professional		$53.90	$73.09	$111.41