Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $48.16 / $48.16	Facility		$48.16	$48.16	$48.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $48.16 / $92.29	Professional		$43.36	$48.16	$92.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.17 / $482.50 / $878.78	Facility		$242.17	$482.50	$878.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $160.00 / $216.00	Professional		$152.00	$160.00	$216.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.96 / $98.96 / $133.16	Facility		$98.96	$98.96	$133.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.03 / $79.03 / $79.03	Professional		$79.03	$79.03	$79.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Facility		$69.84	$69.84	$69.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $69.84 / $106.45	Professional		$44.06	$69.84	$106.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $85.10 / $85.10	Facility		$48.16	$85.10	$85.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.06 / $85.10 / $106.37	Professional		$44.06	$85.10	$106.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $44.06 / $66.09	Professional		$30.00	$44.06	$66.09
United Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $56.30 / $96.68	Professional		$46.92	$56.30	$96.68