Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.84 / $73.84 / $73.84	Facility		$73.84	$73.84	$73.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $60.00 / $73.84	Professional		$38.79	$60.00	$73.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.24 / $253.58 / $481.12	Facility		$125.24	$253.58	$481.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $93.02 / $119.60	Professional		$84.16	$93.02	$119.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.58 / $57.58 / $58.73	Facility		$57.58	$57.58	$58.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $70.87 / $70.87	Professional		$70.87	$70.87	$70.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $65.00 / $114.08	Professional		$55.25	$65.00	$114.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $43.25 / $73.84	Facility		$43.25	$43.25	$73.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.25 / $55.39 / $101.87	Professional		$43.25	$55.39	$101.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $55.52 / $92.54	Professional		$32.08	$55.52	$92.54