Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.88 / $71.88 / $71.88	Facility		$71.88	$71.88	$71.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $67.98 / $71.88	Professional		$48.17	$67.98	$71.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.13 / $330.83 / $433.22	Facility		$248.13	$330.83	$433.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $67.66 / $121.78	Professional		$6.94	$67.66	$121.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $49.52 / $68.73	Facility		$5.86	$49.52	$68.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $54.13 / $87.64	Professional		$7.22	$54.13	$87.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $44.10 / $44.10	Facility		$44.10	$44.10	$44.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $56.07 / $73.59	Professional		$44.10	$56.07	$73.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $69.25 / $109.55	Professional		$7.92	$69.25	$109.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $30.00 / $69.25	Professional		$5.89	$30.00	$69.25
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.27 / $70.83	Professional		$31.62	$46.27	$70.83