Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.68 / $64.68 / $64.68	Facility		$64.68	$64.68	$64.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.56 / $64.68 / $67.59	Professional		$44.56	$64.68	$67.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $300.52 / $400.71	Facility		$30.59	$300.52	$400.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $59.45 / $84.48	Professional		$7.92	$59.45	$84.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $44.79 / $57.66	Facility		$5.42	$44.79	$57.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $50.06 / $73.50	Professional		$6.67	$50.06	$73.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $46.80	Facility		$46.80	$46.80	$46.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $53.02 / $69.59	Professional		$46.80	$53.02	$69.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $64.68 / $91.88	Professional		$8.34	$64.68	$91.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.89 / $30.00 / $57.61	Professional		$4.89	$30.00	$57.61
United Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $43.15 / $65.76	Professional		$32.08	$43.15	$65.76