Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $72.81 / $72.81	Facility		$72.81	$72.81	$72.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $61.25 / $72.81	Professional		$48.74	$61.25	$72.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $328.72 / $438.32	Facility		$33.47	$328.72	$438.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $68.45 / $123.21	Professional		$8.67	$68.45	$123.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $54.26 / $72.38	Facility		$5.93	$54.26	$72.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $54.76 / $89.08	Professional		$7.30	$54.76	$89.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $55.97 / $73.50	Facility		$55.97	$55.97	$73.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $72.16 / $80.98	Professional		$55.97	$72.16	$80.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $68.12 / $104.58	Professional		$8.05	$68.12	$104.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $50.21 / $80.98	Professional		$6.64	$50.21	$80.98
United Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $53.23 / $92.44	Professional		$34.90	$53.23	$92.44