Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.32 / $44.32 / $44.32	Facility		$44.32	$44.32	$44.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $44.32 / $44.46	Professional		$30.95	$44.32	$44.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.52 / $212.52 / $278.30	Facility		$212.52	$212.52	$278.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $41.29 / $78.23	Professional		$5.51	$41.29	$78.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $29.59 / $44.60	Facility		$3.77	$29.59	$44.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $34.78 / $48.53	Professional		$4.63	$34.78	$48.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Facility		$37.90	$37.90	$37.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $37.90 / $49.76	Professional		$32.45	$37.90	$49.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $42.37 / $60.66	Professional		$4.38	$42.37	$60.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.45 / $32.45	Professional		$19.95	$32.45	$32.45
United Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $31.22 / $44.16	Professional		$22.51	$31.22	$44.16