Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $59.99 / $59.99	Facility		$59.99	$59.99	$59.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $59.99 / $59.99	Professional		$49.82	$59.99	$59.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.99 / $316.76 / $576.91	Facility		$158.99	$316.76	$576.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.79 / $105.04 / $141.80	Professional		$99.79	$105.04	$141.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $68.28 / $68.66	Facility		$66.64	$68.28	$68.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.03 / $84.03 / $84.03	Professional		$84.03	$84.03	$84.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $67.95	Facility		$67.95	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $67.95 / $121.88	Professional		$67.95	$67.95	$121.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $75.91 / $75.91	Facility		$59.99	$75.91	$75.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $75.91 / $110.29	Professional		$58.69	$75.91	$110.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $77.73 / $89.38	Professional		$63.73	$77.73	$89.38
United Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $49.33 / $74.23	Professional		$36.65	$49.33	$74.23