Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $34.13 / $34.13	Facility		$34.13	$34.13	$34.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $34.13 / $34.13	Professional		$28.33	$34.13	$34.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.45 / $180.21 / $328.23	Facility		$90.45	$180.21	$328.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $59.76 / $80.68	Professional		$56.77	$59.76	$80.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.89 / $38.84 / $39.07	Facility		$37.89	$38.84	$39.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $47.81 / $47.81	Professional		$47.81	$47.81	$47.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $33.35	Facility		$33.35	$33.35	$33.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $33.35 / $69.38	Professional		$33.35	$33.35	$69.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $43.19 / $43.19	Facility		$34.13	$43.19	$43.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $43.19 / $62.74	Professional		$33.39	$43.19	$62.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $44.22 / $50.85	Professional		$37.58	$44.22	$50.85
United Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $26.39 / $33.78	Facility		$20.52	$26.39	$33.78
United Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $28.07 / $42.24	Professional		$20.85	$28.07	$42.24