Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $15.74 / $15.74	Facility		$15.74	$15.74	$15.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $15.74 / $20.79	Professional		$14.18	$15.74	$20.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.09 / $241.25 / $439.39	Facility		$121.09	$241.25	$439.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $80.00 / $108.00	Professional		$76.00	$80.00	$108.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $23.61 / $31.24	Facility		$23.61	$23.61	$31.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $28.58 / $28.58	Facility		$28.58	$28.58	$28.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $28.58 / $34.50	Professional		$26.43	$28.58	$34.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $27.82 / $27.82	Facility		$15.74	$27.82	$27.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $27.82 / $32.54	Professional		$15.74	$27.82	$32.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $26.43 / $39.64	Professional		$22.46	$26.43	$39.64
United Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $18.41 / $31.41	Professional		$13.28	$18.41	$31.41