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 $28.46 / $37.13 / $45.35	Professional		$28.46	$37.13	$45.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.86 / $330.86 / $433.27	Facility		$330.86	$330.86	$433.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $67.66 / $121.80	Professional		$6.59	$67.66	$121.80
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 / $47.33	Facility		$36.06	$36.06	$47.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $37.14 / $67.50	Professional		$36.06	$37.14	$67.50
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 $3.41 / $6.81 / $40.22	Professional		$3.41	$6.81	$40.22
United Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $30.65 / $43.96	Professional		$20.82	$30.65	$43.96