Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.68 / $44.68 / $44.68	Facility		$44.68	$44.68	$44.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $44.68 / $46.73	Professional		$31.03	$44.68	$46.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $209.29 / $279.02	Facility		$16.39	$209.29	$279.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $55.20 / $78.44	Professional		$4.47	$55.20	$78.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.78 / $30.28 / $38.97	Facility		$3.78	$30.28	$38.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $34.86 / $49.68	Professional		$4.65	$34.86	$49.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $36.65	Facility		$36.65	$36.65	$36.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $39.26 / $48.10	Professional		$36.65	$39.26	$48.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $44.68 / $62.10	Professional		$5.81	$44.68	$62.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $24.34 / $39.26	Professional		$3.34	$24.34	$39.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $28.91 / $44.48	Professional		$20.20	$28.91	$44.48