Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $48.89 / $48.89	Facility		$48.28	$48.89	$48.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $39.72 / $48.89	Professional		$31.54	$39.72	$48.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $166.01 / $320.75	Facility		$83.49	$166.01	$320.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $61.42 / $79.73	Professional		$56.11	$61.42	$79.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $38.39 / $39.15	Facility		$38.39	$38.39	$39.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $47.25	Professional		$47.25	$47.25	$47.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $49.86	Facility		$40.36	$40.36	$49.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $89.53	Professional		$34.31	$34.31	$89.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.89 / $72.80 / $72.80	Facility		$48.89	$72.80	$72.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $60.23 / $76.77	Professional		$33.90	$60.23	$76.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.20 / $1.68	Professional		$0.98	$1.20	$1.68
United Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $31.81 / $61.96	Professional		$21.39	$31.81	$61.96