Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $12.04 / $12.04	Facility		$12.04	$12.04	$12.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $12.04 / $15.89	Professional		$10.84	$12.04	$15.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.44 / $542.80 / $988.63	Facility		$272.44	$542.80	$988.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $180.00 / $243.00	Professional		$171.00	$180.00	$243.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.09 / $84.09 / $121.60	Facility		$84.09	$84.09	$121.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $28.09 / $28.09	Facility		$28.09	$28.09	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $28.09 / $61.82	Professional		$24.75	$28.09	$61.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $21.27 / $21.27	Facility		$12.04	$21.27	$21.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $21.27 / $29.24	Professional		$12.04	$21.27	$29.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $61.82 / $92.73	Professional		$52.54	$61.82	$92.73
United Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $14.08 / $23.84	Professional		$11.06	$14.08	$23.84