Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $47.22 / $47.22	Facility		$47.22	$47.22	$47.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $47.22 / $47.29	Professional		$32.92	$47.22	$47.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $222.06 / $296.07	Facility		$17.38	$222.06	$296.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $46.24 / $83.23	Professional		$4.74	$46.24	$83.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $31.64 / $47.22	Facility		$4.01	$31.64	$47.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $36.99 / $51.90	Professional		$4.94	$36.99	$51.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $40.36	Facility		$40.36	$40.36	$40.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $43.25 / $52.98	Professional		$40.36	$43.25	$52.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $45.66 / $64.88	Professional		$4.69	$45.66	$64.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $29.27 / $47.21	Professional		$4.01	$29.27	$47.21
United Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $31.01 / $46.97	Professional		$23.94	$31.01	$46.97