Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $37.54 / $37.54	Facility		$37.54	$37.54	$37.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $37.54 / $41.46	Professional		$26.48	$37.54	$41.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $177.54 / $236.71	Facility		$18.07	$177.54	$236.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $36.97 / $66.54	Professional		$4.68	$36.97	$66.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $24.04 / $35.88	Facility		$2.85	$24.04	$35.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $34.81 / $46.40	Professional		$4.13	$34.81	$46.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Facility		$25.20	$25.20	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $27.12 / $47.67	Professional		$25.20	$27.12	$47.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $34.42 / $49.30	Professional		$3.56	$34.42	$49.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.30 / $16.81 / $27.12	Professional		$2.30	$16.81	$27.12
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $25.79 / $40.94	Professional		$19.32	$25.79	$40.94