Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.78 / $57.87 / $2,866.32	Facility		$41.78	$57.87	$2,866.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $45.93 / $2,342.40	Professional		$44.60	$45.93	$2,342.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $97.25 / $185.31	Facility		$51.80	$97.25	$185.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $45.43 / $45.43	Professional		$43.16	$45.43	$45.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $61.06 / $61.06	Facility		$61.06	$61.06	$61.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $44.60 / $44.60	Professional		$25.25	$44.60	$44.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $66.90 / $2,781.36	Facility		$44.60	$66.90	$2,781.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $44.60 / $1,741.95	Professional		$41.78	$44.60	$1,741.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $46.64 / $51.29	Professional		$46.13	$46.64	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $47.32	Professional		$44.60	$44.60	$47.32