Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $33.61 / $2,597.04	Facility		$32.02	$33.61	$2,597.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $32.02 / $2,112.60	Professional		$31.08	$32.02	$2,112.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $67.80 / $129.18	Facility		$36.11	$67.80	$129.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $18.30 / $18.30	Professional		$17.39	$18.30	$18.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $42.57 / $42.57	Facility		$42.57	$42.57	$42.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $74.90	Professional		$31.09	$31.09	$74.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $57.00 / $2,597.04	Facility		$31.09	$57.00	$2,597.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $32.02 / $44.05	Professional		$31.09	$32.02	$44.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.75 / $35.85	Professional		$35.09	$35.75	$35.85
United Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $32.99	Professional		$31.09	$31.09	$32.99