Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.09 / $39.09 / $207.80	Facility		$39.09	$39.09	$207.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $39.09 / $39.09	Professional		$33.27	$39.09	$39.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.61 / $206.42 / $375.95	Facility		$103.61	$206.42	$375.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.03 / $68.45 / $92.41	Professional		$65.03	$68.45	$92.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $44.49 / $44.49	Facility		$44.49	$44.49	$44.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $54.76 / $54.76	Professional		$54.76	$54.76	$54.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $42.77	Facility		$42.77	$42.77	$42.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $42.77 / $79.50	Professional		$42.77	$42.77	$79.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.09 / $49.46 / $207.80	Facility		$39.09	$49.46	$207.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $49.46 / $71.87	Professional		$38.72	$49.46	$71.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $50.65 / $58.24	Professional		$41.53	$50.65	$58.24
United Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $33.85 / $43.33	Facility		$0.56	$33.85	$43.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $34.07 / $48.99	Professional		$26.74	$34.07	$48.99