Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $62.62	Facility		$62.62	$62.62	$62.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $62.62 / $63.43	Professional		$44.15	$62.62	$63.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.20 / $303.20 / $397.06	Facility		$303.20	$303.20	$397.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $58.91 / $111.62	Professional		$7.86	$58.91	$111.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $40.59 / $63.01	Facility		$5.38	$40.59	$63.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $49.61 / $66.64	Professional		$6.62	$49.61	$66.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $54.06 / $70.95	Facility		$54.06	$54.06	$70.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $54.68 / $70.95	Professional		$54.06	$54.68	$70.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $58.17 / $82.68	Professional		$6.61	$58.17	$82.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $54.68 / $54.68	Professional		$33.90	$54.68	$54.68
United Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $41.78 / $69.16	Professional		$32.11	$41.78	$69.16