Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $60.76 / $106.33	Facility		$60.76	$60.76	$106.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.76 / $76.93	Professional		$45.00	$60.76	$76.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.19 / $72.98 / $127.07	Facility		$52.19	$72.98	$127.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $47.97 / $51.33	Professional		$45.57	$47.97	$51.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $95.00 / $169.34	Facility		$63.96	$95.00	$169.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $79.95 / $86.35	Professional		$63.96	$79.95	$86.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $31.98 / $143.91	Professional		$22.29	$31.98	$143.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $60.76 / $111.65	Facility		$60.76	$60.76	$111.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $66.88 / $108.73	Professional		$60.76	$66.88	$108.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $58.25 / $75.00	Professional		$52.96	$58.25	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $38.38 / $63.96	Professional		$26.86	$38.38	$63.96