Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.94 / $52.26 / $162.05	Facility		$51.94	$52.26	$162.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $52.26 / $61.02	Professional		$50.74	$52.26	$61.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.94 / $110.65 / $210.84	Facility		$58.94	$110.65	$210.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $51.69 / $51.69	Professional		$49.11	$51.69	$51.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $69.45 / $69.45	Facility		$69.45	$69.45	$69.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $50.74 / $50.74	Professional		$41.64	$50.74	$50.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $90.90 / $162.05	Facility		$50.74	$90.90	$162.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $51.94 / $60.88	Professional		$50.74	$51.94	$60.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $57.99 / $58.35	Professional		$56.55	$57.99	$58.35
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $56.83 / $56.83	Professional		$50.74	$56.83	$56.83