Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $46.54 / $46.54	Facility		$46.54	$46.54	$46.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $46.54 / $46.78	Professional		$32.57	$46.54	$46.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $219.66 / $292.85	Facility		$22.37	$219.66	$292.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $57.93 / $82.32	Professional		$6.10	$57.93	$82.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $30.88 / $46.10	Facility		$3.97	$30.88	$46.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $36.59 / $50.68	Professional		$4.88	$36.59	$50.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $39.90 / $39.90	Facility		$39.90	$39.90	$39.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $46.10 / $52.38	Professional		$39.90	$46.10	$52.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $44.34 / $63.35	Professional		$4.58	$44.34	$63.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $28.58 / $46.10	Professional		$3.91	$28.58	$46.10
United Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $31.22 / $46.46	Professional		$23.68	$31.22	$46.46