Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $40.14 / $40.14	Facility		$40.14	$40.14	$40.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $40.14 / $99.43	Professional		$27.38	$40.14	$99.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.24 / $263.24 / $344.72	Facility		$263.24	$263.24	$344.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $68.19 / $96.90	Professional		$5.24	$68.19	$96.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $26.34 / $36.53	Facility		$3.33	$26.34	$36.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $30.77 / $43.16	Professional		$4.09	$30.77	$43.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $31.91	Facility		$31.91	$31.91	$31.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $31.91 / $41.89	Professional		$27.05	$31.91	$41.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $31.66 / $58.45	Professional		$5.20	$31.66	$58.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $23.95 / $38.64	Professional		$3.28	$23.95	$38.64
United Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $27.13 / $38.90	Professional		$18.43	$27.13	$38.90