Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $43.45 / $43.45	Facility		$43.45	$43.45	$43.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $37.99 / $43.45	Professional		$29.36	$37.99	$43.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.66 / $201.66 / $264.08	Facility		$201.66	$201.66	$264.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $52.24 / $74.23	Professional		$5.50	$52.24	$74.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $31.64 / $42.17	Facility		$3.58	$31.64	$42.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $32.99 / $51.90	Professional		$4.40	$32.99	$51.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $33.36 / $33.36	Facility		$33.36	$33.36	$33.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $34.69 / $44.81	Professional		$33.36	$34.69	$44.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $39.58 / $61.75	Professional		$4.69	$39.58	$61.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $30.00 / $34.69	Professional		$21.33	$30.00	$34.69
United Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $33.94 / $47.09	Professional		$21.22	$33.94	$47.09