Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.32 / $48.32 / $75.38	Facility		$48.32	$48.32	$75.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $48.32 / $50.86	Professional		$36.49	$48.32	$50.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $38.15	Facility		$38.15	$38.15	$38.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $38.15 / $51.50	Professional		$25.94	$38.15	$51.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $53.40 / $124.30	Facility		$53.40	$53.40	$124.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $33.06 / $50.86	Professional		$33.06	$33.06	$50.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $58.23 / $72.79	Professional		$26.10	$58.23	$72.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $48.32 / $88.79	Facility		$45.20	$48.32	$88.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $48.32 / $61.03	Professional		$37.03	$48.32	$61.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $42.11 / $56.84	Professional		$30.00	$42.11	$56.84
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $27.79 / $30.52	Professional		$9.51	$27.79	$30.52