Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.46 / $44.46 / $44.46	Facility		$44.46	$44.46	$44.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.46 / $50.90	Professional		$38.02	$44.46	$50.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.83 / $234.76 / $427.58	Facility		$117.83	$234.76	$427.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $77.84 / $105.10	Professional		$73.95	$77.84	$105.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $55.40 / $67.47	Facility		$50.60	$55.40	$67.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $62.28 / $62.28	Professional		$62.28	$62.28	$62.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $50.36	Facility		$50.36	$50.36	$50.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $50.36 / $90.38	Professional		$50.36	$50.36	$90.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.46 / $56.26 / $56.26	Facility		$44.46	$56.26	$56.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $56.26 / $81.73	Professional		$44.46	$56.26	$81.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $57.61 / $66.25	Professional		$48.96	$57.61	$66.25
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.84 / $60.06	Professional		$32.36	$38.84	$60.06