Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.43 / $56.43 / $56.43	Facility		$56.43	$56.43	$56.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $56.43 / $62.04	Professional		$50.36	$56.43	$62.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.57 / $298.00 / $542.76	Facility		$149.57	$298.00	$542.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $98.82 / $133.41	Professional		$93.88	$98.82	$133.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.22 / $63.21 / $64.23	Facility		$62.22	$63.21	$64.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $79.06 / $79.06	Professional		$79.06	$79.06	$79.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $62.81	Facility		$56.69	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $62.81 / $114.38	Professional		$56.69	$62.81	$114.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.43 / $71.39 / $71.39	Facility		$56.43	$71.39	$71.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $71.39 / $103.76	Professional		$53.76	$71.39	$103.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $73.13 / $84.09	Professional		$59.96	$73.13	$84.09
United Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $47.24 / $70.70	Professional		$37.40	$47.24	$70.70