Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.96 / $37.96 / $37.96	Facility		$37.96	$37.96	$37.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $37.96 / $53.45	Professional		$28.77	$37.96	$53.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $162.41 / $295.82	Facility		$81.52	$162.41	$295.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $53.86 / $72.70	Professional		$51.17	$53.86	$72.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.01 / $35.01 / $41.24	Facility		$35.01	$35.01	$41.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $43.09 / $43.09	Professional		$43.09	$43.09	$43.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $72.00 / $90.00	Professional		$42.10	$72.00	$90.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.96 / $73.03 / $73.03	Facility		$37.96	$73.03	$73.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.96 / $60.70 / $80.52	Professional		$37.96	$60.70	$80.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $60.87 / $70.00	Professional		$49.91	$60.87	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $47.45 / $72.33	Professional		$33.61	$47.45	$72.33