Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $39.72 / $39.72	Facility		$39.72	$39.72	$39.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $39.72 / $39.72	Professional		$28.78	$39.72	$39.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $157.29 / $286.48	Facility		$78.95	$157.29	$286.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $52.16 / $70.42	Professional		$49.55	$52.16	$70.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $33.90 / $33.90	Facility		$33.90	$33.90	$33.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $41.73 / $41.73	Professional		$41.73	$41.73	$41.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $34.45 / $35.47	Facility		$34.45	$34.45	$35.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $34.45 / $43.37	Professional		$27.80	$34.45	$43.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.69 / $37.69 / $39.72	Facility		$37.69	$37.69	$39.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $39.72 / $58.67	Professional		$31.78	$39.72	$58.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $32.70 / $44.34	Professional		$26.16	$32.70	$44.34
United Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $24.49 / $37.33	Professional		$17.32	$24.49	$37.33