Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $115.58 / $125.10	Professional		$73.48	$115.58	$125.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.87 / $142.87 / $142.87	Facility		$142.87	$142.87	$142.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $150.01 / $192.87	Professional		$135.72	$150.01	$192.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.94 / $157.16 / $185.73	Facility		$120.94	$157.16	$185.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.87 / $185.73 / $185.73	Professional		$142.87	$185.73	$185.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $207.19	Professional		$58.29	$58.29	$207.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $115.07 / $125.10	Professional		$94.18	$115.07	$125.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $67.09 / $95.03	Professional		$47.44	$67.09	$95.03