Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $45.51 / $45.51	Facility		$45.51	$45.51	$45.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $45.51 / $45.78	Professional		$31.86	$45.51	$45.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.83 / $218.83 / $286.56	Facility		$218.83	$218.83	$286.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $44.75 / $80.55	Professional		$5.97	$44.75	$80.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $30.15 / $45.80	Facility		$3.88	$30.15	$45.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $35.81 / $49.42	Professional		$4.78	$35.81	$49.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $39.06 / $51.26	Facility		$39.06	$39.06	$51.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $44.96 / $51.26	Professional		$39.06	$44.96	$51.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $44.65 / $61.78	Professional		$5.97	$44.65	$61.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $27.87 / $44.96	Professional		$3.68	$27.87	$44.96
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $32.33 / $51.03	Professional		$23.17	$32.33	$51.03