Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Facility		$47.97	$47.97	$47.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $47.97 / $54.50	Professional		$33.06	$47.97	$54.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.01 / $227.01 / $297.27	Facility		$227.01	$227.01	$297.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $46.43 / $83.57	Professional		$5.88	$46.43	$83.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $33.20 / $48.32	Facility		$4.07	$33.20	$48.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $37.14 / $64.06	Professional		$4.95	$37.14	$64.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $42.67	Facility		$42.67	$42.67	$42.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $42.67 / $56.01	Professional		$41.60	$42.67	$56.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $47.54 / $68.06	Professional		$4.95	$47.54	$68.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $41.60 / $41.60	Professional		$25.58	$41.60	$41.60
United Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $33.40 / $50.45	Professional		$25.23	$33.40	$50.45