Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.18 / $67.18 / $67.18	Facility		$67.18	$67.18	$67.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $67.18 / $71.08	Professional		$46.93	$67.18	$71.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.75 / $322.32 / $422.08	Facility		$241.75	$322.32	$422.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $65.92 / $118.65	Professional		$8.35	$65.92	$118.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $44.71 / $57.57	Facility		$5.71	$44.71	$57.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $52.74 / $73.41	Professional		$7.03	$52.74	$73.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $44.33 / $44.33	Facility		$44.33	$44.33	$44.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $58.02 / $102.00	Professional		$58.02	$58.02	$102.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $66.31 / $91.76	Professional		$8.78	$66.31	$91.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $35.97 / $58.02	Professional		$4.76	$35.97	$58.02
United Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $42.33 / $65.69	Professional		$31.59	$42.33	$65.69