Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $29.68 / $29.68	Facility		$29.68	$29.68	$29.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $29.68 / $30.75	Professional		$25.72	$29.68	$30.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $156.75 / $285.49	Facility		$78.68	$156.75	$285.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $51.98 / $70.17	Professional		$49.38	$51.98	$70.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.79 / $39.92 / $40.67	Facility		$33.79	$39.92	$40.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $41.58 / $41.58	Professional		$41.58	$41.58	$41.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $31.92	Facility		$31.92	$31.92	$31.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $31.92 / $60.38	Professional		$31.92	$31.92	$60.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $37.54 / $37.54	Facility		$29.68	$37.54	$37.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $37.54 / $58.46	Professional		$29.55	$37.54	$58.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.65 / $30.00 / $30.00	Professional		$17.65	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $24.56 / $37.19	Professional		$19.23	$24.56	$37.19