Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $75.15 / $162.90	Facility		$66.68	$75.15	$162.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $71.22 / $103.89	Professional		$37.21	$71.22	$103.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.95 / $80.09 / $139.46	Facility		$56.95	$80.09	$139.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $52.65 / $56.34	Professional		$50.02	$52.65	$56.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $104.27 / $190.60	Facility		$70.20	$104.27	$190.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $87.75 / $94.77	Professional		$70.20	$87.75	$94.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $63.68 / $106.86	Professional		$37.84	$63.68	$106.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $81.53 / $166.06	Facility		$66.68	$81.53	$166.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $81.53 / $95.47	Professional		$66.68	$81.53	$95.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $63.94 / $104.63	Professional		$58.13	$63.94	$104.63
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $52.00 / $86.66	Professional		$29.48	$52.00	$86.66