Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $64.48 / $89.60	Facility		$41.38	$64.48	$89.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $62.07	Professional		$41.38	$41.38	$62.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.76 / $62.41 / $109.61	Facility		$44.76	$62.41	$109.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $41.38 / $44.28	Professional		$39.31	$41.38	$44.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $61.46 / $99.31	Facility		$41.38	$61.46	$99.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $51.73 / $55.86	Professional		$41.38	$51.73	$55.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $33.29 / $51.73	Professional		$20.07	$33.29	$51.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $41.38 / $89.60	Facility		$39.31	$41.38	$89.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $70.34	Professional		$41.38	$41.38	$70.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $39.39 / $55.00	Professional		$34.26	$39.39	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $42.28 / $53.87	Professional		$24.83	$42.28	$53.87