Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.93 / $87.50 / $465.75	Facility		$31.93	$87.50	$465.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $55.73 / $87.50	Professional		$25.30	$55.73	$87.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.34 / $38.34 / $839.51	Facility		$38.34	$38.34	$839.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $40.26 / $51.76	Professional		$36.42	$40.26	$51.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $30.80 / $36.86	Facility		$24.46	$30.80	$36.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $98.84 / $125.21	Professional		$79.80	$98.84	$125.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $79.23 / $163.71	Professional		$28.81	$79.23	$163.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.93 / $87.50 / $202.30	Facility		$31.93	$87.50	$202.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $72.76 / $94.70	Professional		$31.01	$72.76	$94.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $100.72 / $143.14	Professional		$81.65	$100.72	$143.14
United Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $86.14 / $122.17	Professional		$72.58	$86.14	$122.17