Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.74 / $57.32 / $99.30	Facility		$56.74	$57.32	$99.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.20 / $66.77	Professional		$55.65	$56.20	$66.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.44 / $119.11 / $226.96	Facility		$63.44	$119.11	$226.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $58.96 / $76.53	Professional		$53.86	$58.96	$76.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $60.60 / $82.67	Facility		$55.09	$60.60	$82.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $58.43 / $129.03	Professional		$55.65	$58.43	$129.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $65.62	Professional		$55.65	$55.65	$65.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $73.76 / $157.88	Facility		$55.65	$73.76	$157.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.20 / $70.11	Professional		$55.65	$56.20	$70.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $57.03 / $77.91	Professional		$51.85	$57.03	$77.91
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $61.95 / $69.01	Professional		$55.65	$61.95	$69.01