Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $40.79 / $67.81	Facility		$30.60	$40.79	$67.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $49.99 / $69.91	Professional		$30.02	$49.99	$69.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $102.23	Facility		$55.28	$55.28	$102.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $66.34 / $97.11	Professional		$55.28	$66.34	$97.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $44.26 / $52.83	Facility		$35.22	$44.26	$52.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $68.78 / $87.14	Professional		$55.13	$68.78	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $50.89 / $73.55	Professional		$43.85	$50.89	$73.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $67.48 / $70.89	Facility		$34.61	$67.48	$70.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $58.19 / $77.61	Professional		$30.60	$58.19	$77.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $67.87 / $96.25	Professional		$54.60	$67.87	$96.25
United Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $74.53 / $109.69	Professional		$64.02	$74.53	$109.69