Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $35.47 / $35.47	Facility		$35.47	$35.47	$35.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $35.47 / $35.47	Professional		$28.33	$35.47	$35.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.04 / $187.36 / $341.24	Facility		$94.04	$187.36	$341.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $62.13 / $83.88	Professional		$59.02	$62.13	$83.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.89 / $37.89 / $40.38	Facility		$37.89	$37.89	$40.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $49.70 / $49.70	Professional		$49.70	$49.70	$49.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Facility		$38.57	$38.57	$38.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $51.66 / $90.00	Professional		$28.16	$51.66	$90.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $44.91 / $44.91	Facility		$35.47	$44.91	$44.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $44.91 / $68.05	Professional		$35.01	$44.91	$68.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $45.98 / $52.87	Professional		$37.70	$45.98	$52.87
United Facility/Professional Facility Modifier Low / Median / High Price $0.48 / $28.82 / $36.90	Facility		$0.48	$28.82	$36.90
United Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $29.18 / $44.49	Professional		$22.77	$29.18	$44.49