Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.05 / $48.05 / $48.05	Facility		$48.05	$48.05	$48.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $48.05 / $48.05	Professional		$34.81	$48.05	$48.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.51 / $190.28 / $346.57	Facility		$95.51	$190.28	$346.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $63.10 / $85.19	Professional		$59.95	$63.10	$85.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $41.02 / $41.02	Facility		$41.02	$41.02	$41.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $50.48 / $50.48	Professional		$50.48	$50.48	$50.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $46.83	Facility		$37.90	$37.90	$46.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $44.60 / $73.13	Professional		$37.90	$44.60	$73.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $45.60 / $48.05	Facility		$45.60	$45.60	$48.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $48.05 / $72.56	Professional		$40.04	$48.05	$72.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $30.00 / $53.64	Professional		$6.81	$30.00	$53.64
United Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $29.63 / $45.16	Professional		$20.95	$29.63	$45.16