Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $52.70 / $52.70	Facility		$52.04	$52.70	$52.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $42.60 / $52.70	Professional		$34.85	$42.60	$52.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.01 / $184.93 / $357.30	Facility		$93.01	$184.93	$357.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $68.42 / $88.82	Professional		$62.50	$68.42	$88.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $43.21 / $64.15	Facility		$42.76	$43.21	$64.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $52.63 / $52.63	Professional		$52.63	$52.63	$52.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $54.64	Facility		$44.23	$44.23	$54.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $44.23 / $82.68	Professional		$37.60	$44.23	$82.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $72.80 / $72.80	Facility		$52.70	$72.80	$72.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $65.79 / $82.23	Professional		$37.42	$65.79	$82.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $57.00 / $79.80	Professional		$46.74	$57.00	$79.80
United Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $44.31 / $57.74	Facility		$33.97	$44.31	$57.74
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $34.85 / $77.45	Professional		$23.41	$34.85	$77.45