Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.62 / $41.62 / $41.62	Facility		$41.62	$41.62	$41.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $41.62 / $43.41	Professional		$36.07	$41.62	$43.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.31 / $219.78 / $400.29	Facility		$110.31	$219.78	$400.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $72.88 / $98.39	Professional		$69.23	$72.88	$98.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.34 / $45.34 / $47.37	Facility		$45.34	$45.34	$47.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $58.30 / $58.30	Professional		$58.30	$58.30	$58.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.58 / $43.58 / $43.58	Facility		$43.58	$43.58	$43.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $43.58 / $84.38	Professional		$43.58	$43.58	$84.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.62 / $52.67 / $52.67	Facility		$41.62	$52.67	$52.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $52.67 / $76.52	Professional		$41.62	$52.67	$76.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $53.93 / $62.01	Professional		$44.22	$53.93	$62.01
United Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $34.79 / $53.26	Professional		$27.25	$34.79	$53.26