Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $110.06	Facility		$69.70	$69.70	$110.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $64.22 / $69.70	Professional		$52.64	$64.22	$69.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.52 / $83.00 / $145.77	Facility		$59.52	$83.00	$145.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $55.03 / $58.88	Professional		$52.28	$55.03	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $88.04 / $176.09	Facility		$73.37	$88.04	$176.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $91.71 / $99.05	Professional		$73.37	$91.71	$99.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $46.99 / $102.16	Professional		$33.52	$46.99	$102.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.19 / $69.70 / $134.57	Facility		$44.19	$69.70	$134.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.58 / $62.81 / $88.04	Professional		$43.58	$62.81	$88.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $66.82 / $82.01	Professional		$60.75	$66.82	$82.01
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.02 / $83.37	Professional		$30.82	$44.02	$83.37