Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.18 / $38.18 / $38.18	Facility		$38.18	$38.18	$38.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $38.18 / $38.47	Professional		$26.78	$38.18	$38.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.95 / $183.95 / $240.89	Facility		$183.95	$183.95	$240.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.78 / $67.72	Professional		$4.76	$6.78	$67.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $25.11 / $38.42	Facility		$3.26	$25.11	$38.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $30.10 / $41.23	Professional		$4.01	$30.10	$41.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $32.79 / $32.79	Facility		$32.79	$32.79	$32.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $32.79 / $43.03	Professional		$27.55	$32.79	$43.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $35.94 / $50.16	Professional		$3.72	$35.94	$50.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $27.55 / $27.55	Professional		$16.94	$27.55	$27.55
United Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $26.96 / $41.36	Professional		$19.48	$26.96	$41.36