Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.30 / $73.30 / $73.30	Facility		$73.30	$73.30	$73.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $73.30 / $92.57	Professional		$55.53	$73.30	$92.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.38 / $313.58 / $571.15	Facility		$157.38	$313.58	$571.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $103.99 / $140.38	Professional		$98.79	$103.99	$140.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $67.59 / $79.63	Facility		$67.59	$67.59	$79.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $83.19 / $83.19	Professional		$83.19	$83.19	$83.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $128.79	Facility		$128.79	$128.79	$128.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $128.79 / $162.27	Professional		$128.79	$128.79	$162.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $73.30 / $133.47 / $133.47	Facility		$73.30	$133.47	$133.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $113.45 / $146.82	Professional		$73.30	$113.45	$146.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $117.53 / $135.15	Professional		$99.90	$117.53	$135.15
United Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $93.29 / $152.74	Professional		$63.34	$93.29	$152.74