Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $65.65 / $179.39	Facility		$20.07	$65.65	$179.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $49.03 / $70.37	Professional		$16.86	$49.03	$70.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $26.40 / $839.51	Facility		$26.40	$26.40	$839.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $27.72 / $33.00	Professional		$25.08	$27.72	$33.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $21.01 / $25.49	Facility		$16.80	$21.01	$25.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $90.43 / $114.56	Professional		$73.01	$90.43	$114.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $66.98 / $138.31	Professional		$19.87	$66.98	$138.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $65.65 / $285.70	Facility		$20.07	$65.65	$285.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $64.34 / $83.64	Professional		$20.09	$64.34	$83.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $66.89 / $96.50	Professional		$53.04	$66.89	$96.50
United Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $75.81 / $107.05	Professional		$65.48	$75.81	$107.05