Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.07 / $62.07 / $96.83	Facility		$62.07	$62.07	$96.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $62.07 / $67.47	Professional		$56.19	$62.07	$67.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.01 / $49.01 / $49.01	Facility		$49.01	$49.01	$49.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $49.01 / $52.44	Professional		$46.56	$49.01	$52.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $78.41 / $156.82	Facility		$65.34	$78.41	$156.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $81.68 / $88.21	Professional		$65.34	$81.68	$88.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $35.74 / $99.64	Professional		$27.41	$35.74	$99.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $62.07 / $114.05	Facility		$0.75	$62.07	$114.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $59.40 / $111.07	Professional		$0.75	$59.40	$111.07
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 Facility Modifier Low / Median / High Price $65.34 / $65.34 / $65.34	Facility		$65.34	$65.34	$65.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $35.72 / $59.55	Professional		$25.01	$35.72	$59.55