Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Facility		$36.00	$36.00	$36.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $36.00 / $37.45	Professional		$32.26	$36.00	$37.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.41 / $190.10 / $346.24	Facility		$95.41	$190.10	$346.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $63.04 / $85.10	Professional		$59.89	$63.04	$85.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.98 / $48.41 / $51.73	Facility		$40.98	$48.41	$51.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $50.43 / $50.43	Professional		$50.43	$50.43	$50.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $40.77 / $40.77	Facility		$40.77	$40.77	$40.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $42.11 / $81.17	Professional		$29.76	$42.11	$81.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $45.55 / $45.55	Facility		$36.00	$45.55	$45.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $45.55 / $71.77	Professional		$36.00	$45.55	$71.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $30.00 / $30.00	Professional		$25.78	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $30.14 / $45.11	Professional		$24.35	$30.14	$45.11