Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $51.62 / $51.62	Facility		$51.62	$51.62	$51.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $43.44 / $51.62	Professional		$34.13	$43.44	$51.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.41 / $234.41 / $306.97	Facility		$234.41	$234.41	$306.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $47.94 / $86.29	Professional		$6.07	$47.94	$86.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.15 / $38.11 / $52.82	Facility		$4.15	$38.11	$52.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $38.35 / $65.01	Professional		$5.11	$38.35	$65.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.01 / $39.01 / $39.01	Facility		$39.01	$39.01	$39.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $43.36 / $52.08	Professional		$39.01	$43.36	$52.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $51.26 / $79.90	Professional		$6.39	$51.26	$79.90
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 $24.56 / $38.85 / $56.69	Professional		$24.56	$38.85	$56.69