Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $46.49 / $46.49	Facility		$46.49	$46.49	$46.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $46.49 / $46.49	Professional		$38.72	$46.49	$46.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.22 / $245.50 / $447.14	Facility		$123.22	$245.50	$447.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $81.41 / $109.90	Professional		$77.34	$81.41	$109.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $48.71 / $52.92	Facility		$43.06	$48.71	$52.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $65.13 / $65.13	Professional		$65.13	$65.13	$65.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $55.83	Facility		$55.83	$55.83	$55.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $67.69 / $118.13	Professional		$40.76	$67.69	$118.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $58.83 / $58.83	Facility		$46.49	$58.83	$58.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $58.83 / $85.48	Professional		$44.71	$58.83	$85.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $60.24 / $75.00	Professional		$51.20	$60.24	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $37.85 / $54.40	Professional		$27.55	$37.85	$54.40