Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $58.55 / $518.34	Facility		$31.50	$58.55	$518.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $40.03 / $58.55	Professional		$27.05	$40.03	$58.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.71 / $232.04 / $448.32	Facility		$116.71	$232.04	$448.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $40.90 / $53.11	Professional		$37.36	$40.90	$53.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $44.41 / $74.09	Facility		$44.41	$44.41	$74.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $33.90 / $106.18	Professional		$18.59	$33.90	$106.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $44.41 / $518.34	Facility		$31.50	$44.41	$518.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $44.41 / $73.77	Professional		$29.75	$44.41	$73.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $67.86 / $95.12	Professional		$54.68	$67.86	$95.12
United Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $44.79 / $52.69	Professional		$35.86	$44.79	$52.69