Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $50.43 / $154.35	Facility		$49.47	$50.43	$154.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $50.43 / $58.12	Professional		$48.96	$50.43	$58.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $106.78 / $203.46	Facility		$56.87	$106.78	$203.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.63 / $42.77 / $42.77	Professional		$40.63	$42.77	$42.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.04 / $67.04 / $67.04	Facility		$67.04	$67.04	$67.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $48.96 / $48.96	Professional		$40.61	$48.96	$48.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $86.57 / $154.35	Facility		$48.96	$86.57	$154.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $49.47 / $58.75	Professional		$48.96	$49.47	$58.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $55.60 / $56.30	Professional		$55.23	$55.60	$56.30
United Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Facility		$48.96	$48.96	$48.96
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $54.84 / $58.75	Professional		$48.96	$54.84	$58.75