Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $57.03	Facility		$57.03	$57.03	$57.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $57.03 / $57.03	Professional		$46.22	$57.03	$57.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.13 / $301.14 / $548.47	Facility		$151.13	$301.14	$548.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $99.86 / $134.81	Professional		$94.87	$99.86	$134.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.91 / $65.79 / $72.42	Facility		$64.91	$65.79	$72.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $79.89 / $79.89	Professional		$79.89	$79.89	$79.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $115.88	Professional		$64.62	$64.62	$115.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $72.17 / $72.17	Facility		$57.03	$72.17	$72.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $72.17 / $104.85	Professional		$54.84	$72.17	$104.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $73.90 / $84.98	Professional		$60.59	$73.90	$84.98
United Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $46.90 / $70.84	Professional		$34.10	$46.90	$70.84