Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.14 / $61.57 / $254.49	Facility		$36.14	$61.57	$254.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $27.83 / $45.29	Professional		$14.40	$27.83	$45.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $106.37 / $132.84	Facility		$72.00	$106.37	$132.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $70.70 / $90.00	Professional		$63.00	$70.70	$90.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $31.36 / $60.23	Facility		$15.00	$31.36	$60.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $49.99 / $56.32	Professional		$43.47	$49.99	$56.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $65.00 / $65.00	Facility		$53.50	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $62.87 / $117.60	Professional		$27.77	$62.87	$117.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $45.53 / $254.49	Facility		$36.10	$45.53	$254.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $36.14 / $62.45	Professional		$23.34	$36.14	$62.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $66.84 / $93.71	Professional		$54.30	$66.84	$93.71
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $37.00 / $42.95	Professional		$30.79	$37.00	$42.95