Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $29.77 / $29.77	Facility		$29.77	$29.77	$29.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $29.77 / $30.74	Professional		$25.14	$29.77	$30.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $52.12 / $52.12	Facility		$52.12	$52.12	$52.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $52.12 / $70.36	Professional		$49.51	$52.12	$70.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $33.88 / $34.03	Facility		$33.04	$33.88	$34.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $41.70 / $41.70	Professional		$41.70	$41.70	$41.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $34.89 / $34.89	Facility		$34.89	$34.89	$34.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $34.89 / $60.38	Professional		$26.68	$34.89	$60.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $37.67 / $37.67	Facility		$29.77	$37.67	$37.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $37.67 / $62.54	Professional		$29.77	$37.67	$62.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $24.47 / $36.82	Professional		$18.18	$24.47	$36.82