Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.01 / $61.01 / $61.01	Facility		$61.01	$61.01	$61.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $61.01 / $61.01	Professional		$45.17	$61.01	$61.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.68 / $322.13 / $586.70	Facility		$161.68	$322.13	$586.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $106.82 / $144.21	Professional		$101.48	$106.82	$144.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.97 / $69.43 / $74.76	Facility		$60.97	$69.43	$74.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $85.46 / $85.46	Professional		$85.46	$85.46	$85.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $66.78	Facility		$66.78	$66.78	$66.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $66.78 / $123.75	Professional		$66.78	$66.78	$123.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.01 / $77.19 / $77.19	Facility		$61.01	$77.19	$77.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $77.19 / $112.16	Professional		$57.38	$77.19	$112.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.82 / $79.05 / $90.90	Professional		$64.82	$79.05	$90.90
United Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $117.18 / $117.18	Facility		$99.60	$117.18	$117.18
United Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $50.17 / $76.45	Professional		$35.53	$50.17	$76.45