Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $24.93 / $83.54	Facility		$10.33	$24.93	$83.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $24.93 / $35.61	Professional		$18.89	$24.93	$35.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $106.66 / $194.27	Facility		$53.54	$106.66	$194.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $35.36 / $47.75	Professional		$33.60	$35.36	$47.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.99 / $22.99 / $27.09	Facility		$22.99	$22.99	$27.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $28.30 / $28.30	Professional		$28.30	$28.30	$28.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $42.22	Facility		$38.15	$38.15	$42.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $41.92 / $55.19	Professional		$38.15	$41.92	$55.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $25.37 / $83.54	Facility		$10.33	$25.37	$83.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $36.56 / $52.76	Professional		$24.92	$36.56	$52.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $39.97 / $45.96	Professional		$32.77	$39.97	$45.96
United Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $64.78 / $64.78	Facility		$55.06	$64.78	$64.78
United Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $31.51 / $47.50	Professional		$20.03	$31.51	$47.50