Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $32.39 / $32.39	Facility		$32.39	$32.39	$32.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $32.39 / $32.39	Professional		$27.36	$32.39	$32.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $56.71 / $56.71	Facility		$56.71	$56.71	$56.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $56.71 / $76.56	Professional		$53.87	$56.71	$76.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $36.86 / $37.06	Facility		$35.97	$36.86	$37.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $45.37 / $45.37	Professional		$45.37	$45.37	$45.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $33.22	Facility		$33.22	$33.22	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $33.22 / $65.63	Professional		$33.22	$33.22	$65.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $40.98 / $40.98	Facility		$32.39	$40.98	$40.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $40.98 / $59.54	Professional		$30.46	$40.98	$59.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.41 / $41.97 / $48.26	Professional		$34.41	$41.97	$48.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $26.63 / $40.08	Professional		$19.79	$26.63	$40.08