Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.54 / $49.54 / $49.54	Facility		$49.54	$49.54	$49.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $42.35 / $49.54	Professional		$32.40	$42.35	$49.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.77 / $235.77 / $308.75	Facility		$235.77	$235.77	$308.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $64.29 / $86.79	Professional		$61.08	$64.29	$86.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $33.43 / $131.63	Facility		$4.23	$33.43	$131.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $39.14 / $58.35	Professional		$5.22	$39.14	$58.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.15 / $56.64	Facility		$43.15	$43.15	$56.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $45.80 / $56.64	Professional		$43.15	$45.80	$56.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $36.35 / $68.66	Professional		$3.40	$36.35	$68.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $33.19 / $53.21	Professional		$24.62	$33.19	$53.21