Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.76 / $36.76 / $36.76	Facility		$36.76	$36.76	$36.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $36.76 / $36.76	Professional		$30.53	$36.76	$36.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.43 / $194.11 / $353.55	Facility		$97.43	$194.11	$353.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.15 / $64.37 / $86.90	Professional		$61.15	$64.37	$86.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.83 / $41.84 / $42.07	Facility		$40.83	$41.84	$42.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $51.50 / $51.50	Professional		$51.50	$51.50	$51.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $38.36	Facility		$38.36	$38.36	$38.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $38.36 / $74.63	Professional		$38.36	$38.36	$74.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.76 / $46.50 / $46.50	Facility		$36.76	$46.50	$46.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $46.50 / $67.58	Professional		$36.76	$46.50	$67.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.48 / $47.63 / $54.77	Professional		$40.48	$47.63	$54.77
United Facility/Professional Professional Modifier Low / Median / High Price $22.46 / $30.22 / $45.49	Professional		$22.46	$30.22	$45.49