Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $57.75 / $112.02	Facility		$57.69	$57.75	$112.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $57.75 / $499.60	Professional		$56.07	$57.75	$499.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.13 / $122.28 / $232.99	Facility		$65.13	$122.28	$232.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $57.12 / $57.12	Professional		$54.26	$57.12	$57.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.76 / $76.76 / $76.76	Facility		$76.76	$76.76	$76.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $56.07 / $56.07	Professional		$46.52	$56.07	$56.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $64.75 / $160.52	Facility		$56.07	$64.75	$160.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $57.69 / $72.76	Professional		$56.07	$57.69	$72.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $64.41 / $64.48	Professional		$63.21	$64.41	$64.48
United Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $54.97 / $58.27	Facility		$54.97	$54.97	$58.27
United Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $59.48	Professional		$56.07	$56.07	$59.48