Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.14 / $50.14 / $50.14	Facility		$50.14	$50.14	$50.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $50.14 / $50.14	Professional		$41.78	$50.14	$50.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $264.74 / $482.18	Facility		$132.88	$264.74	$482.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $87.79 / $118.52	Professional		$83.40	$87.79	$118.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.71 / $57.06 / $57.38	Facility		$55.71	$57.06	$57.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $70.23 / $70.23	Professional		$70.23	$70.23	$70.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $69.70	Facility		$69.70	$69.70	$69.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $69.70 / $101.63	Professional		$69.70	$69.70	$101.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.14 / $63.43 / $63.43	Facility		$50.14	$63.43	$63.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $63.43 / $98.74	Professional		$50.14	$63.43	$98.74
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 Professional Modifier Low / Median / High Price $32.61 / $41.96 / $62.83	Professional		$32.61	$41.96	$62.83