Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.61 / $72.61 / $72.61	Facility		$72.61	$72.61	$72.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $72.61 / $72.61	Professional		$60.34	$72.61	$72.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.45 / $383.43 / $698.36	Facility		$192.45	$383.43	$698.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.79 / $127.15 / $171.65	Professional		$120.79	$127.15	$171.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $82.65 / $83.10	Facility		$80.70	$82.65	$83.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $70.98	Facility		$70.98	$70.98	$70.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $70.98 / $147.38	Professional		$64.38	$70.98	$147.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $72.61 / $91.89 / $91.89	Facility		$72.61	$91.89	$91.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $91.89 / $133.50	Professional		$72.61	$91.89	$133.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $94.09 / $108.20	Professional		$79.97	$94.09	$108.20
United Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $59.71 / $91.01	Professional		$44.38	$59.71	$91.01