Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $70.61 / $88.26	Facility		$65.26	$70.61	$88.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $76.45 / $77.80	Professional		$70.61	$76.45	$77.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $84.08 / $147.68	Facility		$60.30	$84.08	$147.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $55.75 / $59.65	Professional		$52.96	$55.75	$59.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $110.40 / $197.54	Facility		$74.33	$110.40	$197.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $92.91 / $100.35	Professional		$74.33	$92.91	$100.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $59.64 / $103.51	Professional		$36.97	$59.64	$103.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $70.61 / $129.75	Facility		$41.38	$70.61	$129.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $70.61 / $99.00	Professional		$41.38	$70.61	$99.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $67.70 / $83.09	Professional		$61.55	$67.70	$83.09
United Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $44.60 / $96.63	Professional		$31.22	$44.60	$96.63