Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $40.18 / $40.18	Facility		$40.18	$40.18	$40.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $40.18 / $41.88	Professional		$28.34	$40.18	$41.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.52 / $193.52 / $253.42	Facility		$193.52	$193.52	$253.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $50.13 / $71.23	Professional		$5.28	$50.13	$71.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $25.73 / $40.54	Facility		$3.41	$25.73	$40.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $31.66 / $42.22	Professional		$4.20	$31.66	$42.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $24.44 / $24.44	Facility		$24.44	$24.44	$24.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $35.19 / $46.18	Professional		$24.44	$35.19	$46.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $37.00 / $52.77	Professional		$5.25	$37.00	$52.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $27.61 / $43.82	Professional		$20.61	$27.61	$43.82