Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $45.83 / $142.99	Facility		$45.43	$45.83	$142.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $45.43 / $53.83	Professional		$44.10	$45.43	$53.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $125.30 / $238.74	Facility		$66.73	$125.30	$238.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $58.53 / $58.53	Professional		$55.60	$58.53	$58.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.39 / $60.39 / $60.39	Facility		$60.39	$60.39	$60.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $44.11 / $56.36	Professional		$25.25	$44.11	$56.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $66.16 / $127.52	Facility		$44.11	$66.16	$127.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $45.43 / $53.93	Professional		$44.11	$45.43	$53.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $50.72 / $51.16	Professional		$49.88	$50.72	$51.16
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $46.80	Professional		$44.11	$44.11	$46.80