Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $40.28 / $40.28	Facility		$40.28	$40.28	$40.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $40.28 / $40.28	Professional		$33.44	$40.28	$40.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.75 / $212.69 / $387.38	Facility		$106.75	$212.69	$387.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $70.53 / $95.22	Professional		$67.00	$70.53	$95.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.71 / $45.84 / $46.06	Facility		$44.71	$45.84	$46.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $39.35 / $39.35	Facility		$39.35	$39.35	$39.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $39.35 / $81.75	Professional		$35.76	$39.35	$81.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $50.96 / $50.96	Facility		$40.28	$50.96	$50.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $50.96 / $74.05	Professional		$39.34	$50.96	$74.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $52.19 / $60.01	Professional		$44.36	$52.19	$60.01
United Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $33.11 / $49.83	Professional		$24.60	$33.11	$49.83