Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $42.50 / $42.50	Facility		$42.50	$42.50	$42.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $42.50 / $42.50	Professional		$35.42	$42.50	$42.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.63 / $224.39 / $408.69	Facility		$112.63	$224.39	$408.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.69 / $74.41 / $100.45	Professional		$70.69	$74.41	$100.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.59 / $48.37 / $51.03	Facility		$46.59	$48.37	$51.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $59.53 / $59.53	Professional		$59.53	$59.53	$59.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.15 / $48.15	Facility		$48.15	$48.15	$48.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $48.15 / $86.25	Professional		$48.15	$48.15	$86.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $53.79 / $53.79	Facility		$42.50	$53.79	$53.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $53.79 / $78.13	Professional		$42.50	$53.79	$78.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $55.06 / $63.31	Professional		$46.80	$55.06	$63.31
United Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $37.04 / $53.28	Professional		$26.67	$37.04	$53.28