Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $48.56 / $72.52	Facility		$37.35	$48.56	$72.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $37.35 / $43.87	Professional		$36.28	$37.35	$43.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $79.12 / $150.76	Facility		$42.14	$79.12	$150.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $38.44 / $49.90	Professional		$35.11	$38.44	$49.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $39.89 / $54.42	Facility		$36.26	$39.89	$54.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $38.09 / $84.12	Professional		$36.28	$38.09	$84.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $46.20	Professional		$36.28	$36.28	$46.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $72.52 / $103.93	Facility		$36.28	$72.52	$103.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $37.35 / $45.35	Professional		$36.28	$37.35	$45.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $39.88 / $54.39	Professional		$35.79	$39.88	$54.39
United Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $36.28 / $36.28	Facility		$36.28	$36.28	$36.28
United Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $40.39 / $46.45	Professional		$36.28	$40.39	$46.45