Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.62 / $50.62 / $50.62	Facility		$50.62	$50.62	$50.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $50.62 / $50.62	Professional		$36.67	$50.62	$50.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.62 / $200.48 / $365.13	Facility		$100.62	$200.48	$365.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $66.48 / $89.75	Professional		$63.16	$66.48	$89.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.21 / $43.21 / $43.21	Facility		$43.21	$43.21	$43.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $53.18 / $53.18	Professional		$53.18	$53.18	$53.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $39.94 / $39.94	Facility		$39.94	$39.94	$39.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $41.69 / $55.28	Professional		$35.44	$41.69	$55.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $48.04 / $50.62	Facility		$48.04	$48.04	$50.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $50.62 / $74.78	Professional		$39.93	$50.62	$74.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $41.69 / $56.51	Professional		$33.35	$41.69	$56.51
United Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $30.67 / $45.87	Professional		$22.11	$30.67	$45.87