Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.30 / $62.09 / $373.10	Facility		$58.30	$62.09	$373.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $65.36 / $69.91	Professional		$52.29	$65.36	$69.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.02 / $74.58 / $129.85	Facility		$53.02	$74.58	$129.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $49.02 / $52.45	Professional		$46.57	$49.02	$52.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $78.43 / $156.86	Facility		$65.36	$78.43	$156.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $81.70 / $88.24	Professional		$65.36	$81.70	$88.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $50.26 / $90.91	Professional		$33.19	$50.26	$90.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $62.09 / $66.14 / $373.10	Facility		$62.09	$66.14	$373.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $83.82 / $89.12	Professional		$62.09	$83.82	$89.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $59.52 / $75.00	Professional		$54.11	$59.52	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $48.95 / $89.17	Professional		$27.45	$48.95	$89.17