Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $45.20 / $45.20	Facility		$45.20	$45.20	$45.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $45.20 / $74.05	Professional		$40.70	$45.20	$74.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $180.94 / $329.54	Facility		$90.81	$180.94	$329.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $60.00 / $81.00	Professional		$57.00	$60.00	$81.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $59.12	Facility		$56.23	$56.23	$59.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $78.70 / $78.70	Professional		$78.70	$78.70	$78.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Facility		$37.95	$37.95	$37.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $37.95 / $99.72	Professional		$37.95	$37.95	$99.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $79.86 / $79.86	Facility		$45.20	$79.86	$79.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $77.18 / $96.86	Professional		$45.20	$77.18	$96.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $73.45 / $110.17	Professional		$62.43	$73.45	$110.17
United Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $52.84 / $88.06	Professional		$41.53	$52.84	$88.06