Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $46.92 / $49.27	Facility		$46.92	$46.92	$49.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $40.79 / $53.09	Professional		$17.32	$40.79	$53.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $93.13 / $93.13	Facility		$63.00	$93.13	$93.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $82.18 / $93.13	Professional		$63.00	$82.18	$93.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $31.36 / $73.48	Facility		$15.00	$31.36	$73.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $65.37 / $73.48	Professional		$56.84	$65.37	$73.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $53.50 / $65.00	Facility		$53.50	$53.50	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $67.64 / $117.79	Professional		$24.25	$67.64	$117.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $46.92 / $48.89	Facility		$27.41	$46.92	$48.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $42.08 / $67.41	Professional		$27.41	$42.08	$67.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $33.15 / $47.36	Professional		$27.05	$33.15	$47.36
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.69 / $50.78	Professional		$23.99	$28.69	$50.78