Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $43.34 / $43.34	Facility		$43.34	$43.34	$43.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $43.34 / $46.09	Professional		$30.03	$43.34	$46.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.25 / $206.25 / $270.08	Facility		$206.25	$206.25	$270.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $42.18 / $75.92	Professional		$4.11	$42.18	$75.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.66 / $29.53 / $38.00	Facility		$3.66	$29.53	$38.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $33.75 / $48.45	Professional		$4.50	$33.75	$48.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $35.56 / $46.67	Facility		$35.56	$35.56	$46.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $37.97 / $46.67	Professional		$35.56	$37.97	$46.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $42.24 / $60.56	Professional		$4.38	$42.24	$60.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $23.54 / $37.97	Professional		$3.23	$23.54	$37.97
United Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $28.27 / $38.79	Professional		$19.77	$28.27	$38.79