Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $55.06 / $214.93	Facility		$40.70	$55.06	$214.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $38.54 / $42.84	Professional		$36.84	$38.54	$42.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.75 / $48.88 / $85.11	Facility		$34.75	$48.88	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $32.13 / $34.38	Professional		$30.52	$32.13	$34.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $63.63 / $116.33	Facility		$42.84	$63.63	$116.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $53.55 / $57.83	Professional		$42.84	$53.55	$57.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $47.60 / $96.39	Professional		$21.79	$47.60	$96.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $38.67 / $57.03 / $214.93	Facility		$38.67	$57.03	$214.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $51.40 / $68.83	Professional		$37.34	$51.40	$68.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $39.02 / $63.86	Professional		$35.47	$39.02	$63.86
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $35.06 / $59.85	Professional		$17.98	$35.06	$59.85