Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $41.47 / $41.47	Facility		$41.47	$41.47	$41.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $40.85 / $41.47	Professional		$28.44	$40.85	$41.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.32 / $195.32 / $255.78	Facility		$195.32	$195.32	$255.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $37.95 / $71.90	Professional		$5.33	$37.95	$71.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.46 / $29.05 / $43.40	Facility		$3.46	$29.05	$43.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $31.95 / $47.68	Professional		$4.26	$31.95	$47.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Facility		$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $37.36 / $46.08	Professional		$35.11	$37.36	$46.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $41.47 / $59.60	Professional		$5.33	$41.47	$59.60
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 $22.37 / $31.19 / $49.50	Professional		$22.37	$31.19	$49.50