Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.89 / $35.89 / $35.89	Facility		$35.89	$35.89	$35.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $35.89 / $35.89	Professional		$30.32	$35.89	$35.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.11 / $189.50 / $345.14	Facility		$95.11	$189.50	$345.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $62.84 / $84.83	Professional		$59.70	$62.84	$84.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $40.85 / $41.05	Facility		$39.86	$40.85	$41.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $50.27 / $50.27	Professional		$50.27	$50.27	$50.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $35.07	Facility		$35.07	$35.07	$35.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $35.07 / $72.75	Professional		$33.35	$35.07	$72.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.89 / $45.40 / $45.40	Facility		$35.89	$45.40	$45.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.70 / $45.40 / $65.98	Professional		$33.70	$45.40	$65.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $46.50 / $53.47	Professional		$38.13	$46.50	$53.47
United Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $29.51 / $44.40	Professional		$21.92	$29.51	$44.40