Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $48.88 / $76.25	Facility		$48.88	$48.88	$76.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $53.14	Professional		$32.50	$39.31	$53.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.74 / $58.71 / $102.22	Facility		$41.74	$58.71	$102.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $38.59 / $41.29	Professional		$36.65	$38.59	$41.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $76.42 / $125.74	Facility		$51.45	$76.42	$125.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $64.31 / $69.45	Professional		$51.45	$64.31	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $51.45 / $168.52	Professional		$23.61	$51.45	$168.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $48.88 / $89.82	Facility		$14.09	$48.88	$89.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $44.25 / $69.45	Professional		$14.09	$44.25	$69.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $46.87 / $75.00	Professional		$42.61	$46.87	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $30.87 / $51.45	Professional		$21.61	$30.87	$51.45