Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $164.58 / $896.22	Facility		$30.91	$164.58	$896.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.30 / $35.45	Professional		$30.01	$30.30	$35.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $67.28 / $127.27	Facility		$37.35	$67.28	$127.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $30.78 / $30.78	Professional		$29.24	$30.78	$30.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.08 / $41.08 / $41.08	Facility		$41.08	$41.08	$41.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $30.01 / $30.01	Professional		$5.05	$30.01	$30.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $58.85 / $1,094.44	Facility		$30.01	$58.85	$1,094.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.18 / $36.01	Professional		$30.01	$30.18	$36.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $33.69 / $34.51	Professional		$31.02	$33.69	$34.51
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $31.84	Professional		$30.01	$30.01	$31.84