Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Facility		$39.57	$39.57	$39.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $39.57 / $41.83	Professional		$27.21	$39.57	$41.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $183.50 / $244.68	Facility		$18.70	$183.50	$244.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $38.21 / $68.78	Professional		$4.84	$38.21	$68.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $25.84 / $34.92	Facility		$3.35	$25.84	$34.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $30.58 / $49.40	Professional		$4.08	$30.58	$49.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Facility		$26.10	$26.10	$26.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $35.21 / $46.21	Professional		$26.10	$35.21	$46.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $39.51 / $56.45	Professional		$5.09	$39.51	$56.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $22.12 / $35.68	Professional		$3.02	$22.12	$35.68
United Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $24.52 / $38.83	Facility		$3.27	$24.52	$38.83
United Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $26.51 / $40.40	Professional		$19.79	$26.51	$40.40