Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $76.79 / $951.13	Facility		$48.63	$76.79	$951.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $48.63 / $165.08	Professional		$47.43	$48.63	$165.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $58.41 / $101.69	Facility		$41.77	$58.41	$101.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $38.39 / $41.08	Professional		$36.47	$38.39	$41.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $61.43 / $122.86	Facility		$51.19	$61.43	$122.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $63.99 / $69.11	Professional		$51.19	$63.99	$69.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $35.56 / $115.18	Professional		$25.27	$35.56	$115.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $60.79 / $461.99	Facility		$48.63	$60.79	$461.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $53.47 / $87.02	Professional		$46.07	$53.47	$87.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $46.61 / $75.00	Professional		$42.38	$46.61	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $51.19 / $51.19	Facility		$51.19	$51.19	$51.19
United Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $55.09 / $72.58	Professional		$30.71	$55.09	$72.58