Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $43.96 / $68.95	Facility		$34.89	$43.96	$68.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.89 / $2,283.00	Professional		$33.88	$34.89	$2,283.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $73.88 / $140.77	Facility		$39.35	$73.88	$140.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $35.89 / $46.59	Professional		$32.78	$35.89	$46.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $37.27 / $51.72	Facility		$33.88	$37.27	$51.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.57 / $78.55	Professional		$33.88	$35.57	$78.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $42.30	Professional		$33.88	$33.88	$42.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $62.14 / $98.81	Facility		$33.88	$62.14	$98.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.89 / $107.00	Professional		$33.88	$34.89	$107.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.92 / $52.08	Professional		$33.88	$37.92	$52.08
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $36.52	Professional		$33.88	$33.88	$36.52