Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $37.63 / $37.63	Facility		$37.63	$37.63	$37.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $37.63 / $37.63	Professional		$31.27	$37.63	$37.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $198.70 / $361.89	Facility		$99.73	$198.70	$361.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $65.89 / $88.95	Professional		$62.60	$65.89	$88.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $42.83 / $43.05	Facility		$41.81	$42.83	$43.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $52.71	Professional		$52.71	$52.71	$52.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $36.78	Facility		$36.78	$36.78	$36.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $54.79 / $95.63	Professional		$26.85	$54.79	$95.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $47.62 / $47.62	Facility		$37.63	$47.62	$47.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $47.62 / $69.18	Professional		$36.82	$47.62	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $48.76 / $56.07	Professional		$41.44	$48.76	$56.07
United Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $78.48 / $78.48	Facility		$66.70	$78.48	$78.48
United Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $30.95 / $47.16	Professional		$22.99	$30.95	$47.16