Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.18 / $58.18 / $58.18	Facility		$58.18	$58.18	$58.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $56.05 / $58.18	Professional		$38.32	$56.05	$58.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.17 / $263.17 / $344.62	Facility		$263.17	$263.17	$344.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $53.82 / $96.88	Professional		$6.82	$53.82	$96.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $44.96 / $60.09	Facility		$4.67	$44.96	$60.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $43.06 / $73.95	Professional		$5.74	$43.06	$73.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $46.18 / $46.18	Facility		$46.18	$46.18	$46.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $49.42 / $60.89	Professional		$46.18	$49.42	$60.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $58.18 / $89.70	Professional		$29.35	$58.18	$89.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $49.42 / $49.42	Professional		$30.39	$49.42	$49.42
United Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $44.20 / $64.47	Professional		$29.93	$44.20	$64.47