Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.13 / $63.13 / $63.13	Facility		$63.13	$63.13	$63.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.09 / $53.83 / $63.13	Professional		$42.09	$53.83	$63.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.06 / $289.06 / $378.53	Facility		$289.06	$289.06	$378.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $10.64 / $106.41	Professional		$7.49	$10.64	$106.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $47.51 / $63.33	Facility		$5.12	$47.51	$63.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $47.30 / $77.94	Professional		$6.30	$47.30	$77.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $48.69	Facility		$48.69	$48.69	$48.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $48.69 / $64.22	Professional		$43.36	$48.69	$64.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $59.93 / $97.43	Professional		$7.04	$59.93	$97.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $43.36 / $43.36	Professional		$26.66	$43.36	$43.36
United Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $48.02 / $80.91	Professional		$30.64	$48.02	$80.91