Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Facility		$24.50	$24.50	$24.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $24.50 / $24.50	Professional		$20.35	$24.50	$24.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $129.37 / $235.62	Facility		$64.93	$129.37	$235.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $42.90 / $57.92	Professional		$40.75	$42.90	$57.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $27.89 / $28.04	Facility		$27.22	$27.89	$28.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $34.32 / $34.32	Professional		$34.32	$34.32	$34.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $26.67	Facility		$26.67	$26.67	$26.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $26.67 / $49.88	Professional		$22.68	$26.67	$49.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $31.01 / $31.01	Facility		$24.50	$31.01	$31.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $31.01 / $45.04	Professional		$24.50	$31.01	$45.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $31.75 / $36.51	Professional		$26.98	$31.75	$36.51
United Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $20.14 / $30.32	Professional		$14.97	$20.14	$30.32