Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.20 / $107.63 / $57,368.86	Facility		$61.20	$107.63	$57,368.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $61.20 / $76.88	Professional		$59.40	$61.20	$76.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.02 / $125.27 / $250.27	Facility		$69.02	$125.27	$250.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $60.53 / $60.53	Professional		$57.50	$60.53	$60.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $81.33 / $81.33	Facility		$81.33	$81.33	$81.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.59	Professional		$59.41	$59.41	$59.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $89.12 / $44,236.80	Facility		$59.41	$89.12	$44,236.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $61.20 / $76.88	Professional		$59.41	$61.20	$76.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $68.32 / $68.65	Professional		$66.48	$68.32	$68.65
United Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $63.03	Professional		$59.41	$59.41	$63.03