Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $82.60	Facility		$52.95	$52.95	$82.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $52.95 / $52.95	Professional		$47.94	$52.95	$52.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $63.61 / $110.75	Facility		$45.22	$63.61	$110.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $41.81 / $44.74	Professional		$39.72	$41.81	$44.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $82.79 / $136.22	Facility		$55.74	$82.79	$136.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $69.68 / $75.25	Professional		$55.74	$69.68	$75.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $53.84 / $125.42	Professional		$26.26	$53.84	$125.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.30 / $52.95 / $97.30	Facility		$50.30	$52.95	$97.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $55.58 / $75.25	Professional		$49.93	$55.58	$75.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $50.77 / $75.00	Professional		$46.16	$50.77	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $34.18 / $58.75	Professional		$23.41	$34.18	$58.75