Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $29.77 / $29.77	Facility		$29.77	$29.77	$29.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $29.77 / $29.77	Professional		$24.71	$29.77	$29.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $157.16 / $286.26	Facility		$78.89	$157.16	$286.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $52.12 / $70.36	Professional		$49.51	$52.12	$70.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $33.88 / $34.03	Facility		$33.04	$33.88	$34.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $41.70 / $41.70	Professional		$41.70	$41.70	$41.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $36.33	Facility		$36.33	$36.33	$36.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $43.34 / $75.47	Professional		$26.52	$43.34	$75.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $37.67 / $37.67	Facility		$29.77	$37.67	$37.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $37.67 / $54.72	Professional		$29.77	$37.67	$54.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.57 / $44.35	Professional		$31.62	$38.57	$44.35
United Facility/Professional Facility Modifier Low / Median / High Price $0.38 / $23.01 / $29.46	Facility		$0.38	$23.01	$29.46
United Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $24.04 / $36.82	Professional		$18.18	$24.04	$36.82