Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.81 / $56.82 / $314.73	Facility		$56.81	$56.82	$314.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $56.82 / $59.08	Professional		$55.16	$56.82	$59.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.20 / $56.20 / $56.20	Facility		$56.20	$56.20	$56.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $56.20 / $75.87	Professional		$53.39	$56.20	$75.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.85 / $35.85 / $35.85	Facility		$35.85	$35.85	$35.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $67.43	Professional		$44.13	$44.13	$67.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.58 / $54.58 / $55.16	Facility		$54.58	$54.58	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $55.16 / $55.16	Professional		$49.59	$55.16	$55.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $71.01 / $177.25	Facility		$55.16	$71.01	$177.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $56.81 / $66.19	Professional		$55.16	$56.81	$66.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $30.00 / $53.59	Professional		$6.81	$30.00	$53.59
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $56.27	Professional		$22.06	$55.16	$56.27