Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.53 / $44.53 / $44.53	Facility		$44.53	$44.53	$44.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $44.53 / $44.53	Professional		$38.08	$44.53	$44.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.03 / $235.16 / $428.30	Facility		$118.03	$235.16	$428.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $77.98 / $105.27	Professional		$74.08	$77.98	$105.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.69 / $56.08 / $58.40	Facility		$50.69	$56.08	$58.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.38 / $62.38 / $62.38	Professional		$62.38	$62.38	$62.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $48.73	Facility		$48.73	$48.73	$48.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $48.73 / $90.38	Professional		$48.73	$48.73	$90.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.53 / $56.35 / $56.35	Facility		$44.53	$56.35	$56.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $56.35 / $87.71	Professional		$44.53	$56.35	$87.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $38.90 / $59.95	Professional		$32.42	$38.90	$59.95