Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.79 / $50.79 / $50.79	Facility		$50.79	$50.79	$50.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $50.79 / $51.28	Professional		$35.70	$50.79	$51.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $240.79 / $321.04	Facility		$24.53	$240.79	$321.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $50.14 / $90.25	Professional		$6.36	$50.14	$90.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $33.25 / $49.64	Facility		$4.34	$33.25	$49.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $40.11 / $54.55	Professional		$5.35	$40.11	$54.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $44.42	Facility		$44.42	$44.42	$44.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $49.59 / $58.30	Professional		$44.42	$49.59	$58.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $46.82 / $66.84	Professional		$5.35	$46.82	$66.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $30.00 / $49.59	Professional		$4.20	$30.00	$49.59
United Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $35.67 / $56.62	Professional		$22.74	$35.67	$56.62