Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.35 / $45.35 / $45.35	Facility		$45.35	$45.35	$45.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $45.35 / $52.06	Professional		$30.94	$45.35	$52.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.61 / $367.61 / $481.39	Facility		$367.61	$367.61	$481.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $95.23 / $135.32	Professional		$7.32	$95.23	$135.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $29.78 / $41.28	Facility		$3.77	$29.78	$41.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $34.77 / $48.77	Professional		$4.63	$34.77	$48.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $36.06 / $36.06	Facility		$36.06	$36.06	$36.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $36.06 / $51.52	Professional		$36.06	$36.06	$51.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $35.78 / $66.08	Professional		$3.33	$35.78	$66.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $30.00 / $51.52	Professional		$4.38	$30.00	$51.52
United Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $27.77 / $43.49	Facility		$4.01	$27.77	$43.49
United Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $30.65 / $51.09	Professional		$20.82	$30.65	$51.09