Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $65.53 / $346.70	Facility		$62.23	$65.53	$346.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $59.20 / $62.41	Professional		$50.57	$59.20	$62.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $74.95 / $130.51	Facility		$53.61	$74.95	$130.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $49.27 / $52.72	Professional		$46.81	$49.27	$52.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $78.83 / $157.66	Facility		$65.69	$78.83	$157.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $82.11 / $88.68	Professional		$65.69	$82.11	$88.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $37.83 / $91.36	Professional		$30.05	$37.83	$91.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $63.53 / $353.58	Facility		$62.40	$63.53	$353.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $63.10 / $82.74	Professional		$50.58	$63.10	$82.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $59.82 / $75.00	Professional		$54.39	$59.82	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $40.28 / $67.13	Professional		$27.59	$40.28	$67.13