Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $54.19 / $644.60	Facility		$54.19	$54.19	$644.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $70.00 / $97.19	Professional		$39.93	$70.00	$97.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.54 / $65.09 / $113.32	Facility		$46.54	$65.09	$113.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $42.78 / $45.77	Professional		$40.64	$42.78	$45.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $68.45 / $136.90	Facility		$57.04	$68.45	$136.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $71.30 / $77.00	Professional		$57.04	$71.30	$77.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $28.87 / $128.34	Professional		$22.82	$28.87	$128.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $53.86 / $54.19 / $644.60	Facility		$53.86	$54.19	$644.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $54.19 / $85.56	Professional		$53.71	$54.19	$85.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $51.95 / $75.00	Professional		$47.23	$51.95	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $34.22 / $57.04	Professional		$23.96	$34.22	$57.04