Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $59.28 / $59.28	Facility		$59.28	$59.28	$59.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $59.28 / $74.09	Professional		$59.28	$59.28	$74.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.68 / $91.68 / $120.06	Facility		$91.68	$91.68	$120.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $23.75 / $33.75	Professional		$1.82	$23.75	$33.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,886.63 / $1,886.63 / $1,886.63	Facility		$1,886.63	$1,886.63	$1,886.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.69 / $526.69 / $526.69	Facility		$526.69	$526.69	$526.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.69 / $526.69 / $526.69	Professional		$526.69	$526.69	$526.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $59.28 / $59.28	Professional		$59.28	$59.28	$59.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00