Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.87 / $66.87 / $66.87	Facility		$66.87	$66.87	$66.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.21 / $66.87 / $88.28	Professional		$60.21	$66.87	$88.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.34 / $964.99 / $1,757.57	Facility		$484.34	$964.99	$1,757.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $320.00 / $432.00	Professional		$304.00	$320.00	$432.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $74.38 / $184.46	Facility		$74.38	$74.38	$184.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $147.69	Professional		$56.50	$56.50	$147.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.87 / $118.16 / $118.16	Facility		$66.87	$118.16	$118.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.87 / $118.16 / $149.28	Professional		$66.87	$118.16	$149.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $110.65 / $165.97	Professional		$94.05	$110.65	$165.97
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $78.17 / $130.28	Professional		$61.44	$78.17	$130.28