Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $54.70 / $23,350.21	Facility		$43.42	$54.70	$23,350.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.58 / $50.64	Professional		$42.16	$42.58	$50.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.07 / $90.25 / $171.97	Facility		$48.07	$90.25	$171.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $44.67 / $57.98	Professional		$40.79	$44.67	$57.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $46.04 / $62.78	Facility		$41.85	$46.04	$62.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $44.27 / $97.75	Professional		$42.16	$44.27	$97.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $49.72	Professional		$42.16	$42.16	$49.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $56.04 / $9,620.41	Facility		$42.16	$56.04	$9,620.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $43.11 / $54.70	Professional		$42.16	$43.11	$54.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $45.22 / $62.77	Professional		$41.11	$45.22	$62.77
United Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $43.58	Facility		$41.11	$41.11	$43.58
United Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $46.93 / $51.01	Professional		$42.16	$46.93	$51.01