Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $37.65 / $37.65	Facility		$37.65	$37.65	$37.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $37.65 / $37.65	Professional		$26.02	$37.65	$37.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.81 / $198.85 / $362.17	Facility		$99.81	$198.85	$362.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $65.94 / $89.02	Professional		$62.64	$65.94	$89.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $41.65 / $42.86	Facility		$32.15	$41.65	$42.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $30.91	Facility		$30.91	$30.91	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $30.91 / $76.50	Professional		$30.91	$30.91	$76.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.65 / $47.66 / $47.66	Facility		$37.65	$47.66	$47.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $47.66 / $69.23	Professional		$36.96	$47.66	$69.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $48.80 / $56.12	Professional		$41.48	$48.80	$56.12
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $30.42 / $43.86	Professional		$19.32	$30.42	$43.86