Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $39.68 / $39.68	Facility		$39.68	$39.68	$39.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $39.68 / $39.68	Professional		$33.93	$39.68	$39.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.16 / $209.52 / $381.61	Facility		$105.16	$209.52	$381.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.01 / $69.48 / $93.80	Professional		$66.01	$69.48	$93.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $45.16 / $50.65	Facility		$39.86	$45.16	$50.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $55.58 / $55.58	Professional		$55.58	$55.58	$55.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $80.63	Professional		$44.94	$44.94	$80.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $50.20 / $50.20	Facility		$39.68	$50.20	$50.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $50.20 / $72.95	Professional		$39.68	$50.20	$72.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $51.42 / $59.13	Professional		$43.70	$51.42	$59.13
United Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $37.24 / $37.24	Facility		$37.24	$37.24	$37.24
United Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $33.21 / $49.71	Professional		$25.49	$33.21	$49.71