Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.19 / $41.19 / $1,292.89	Facility		$41.19	$41.19	$1,292.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $41.19 / $45.31	Professional		$37.76	$41.19	$45.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $217.49 / $396.11	Facility		$109.16	$217.49	$396.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $72.12 / $97.36	Professional		$68.51	$72.12	$97.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $47.87 / $54.96	Facility		$46.88	$47.87	$54.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $57.70 / $57.70	Professional		$57.70	$57.70	$57.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $46.45	Facility		$46.45	$46.45	$46.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $59.97 / $104.53	Professional		$33.90	$59.97	$104.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $52.12 / $1,292.89	Facility		$41.18	$52.12	$1,292.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $52.12 / $81.12	Professional		$41.19	$52.12	$81.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $53.37 / $61.37	Professional		$43.76	$53.37	$61.37
United Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $34.47 / $51.62	Professional		$28.17	$34.47	$51.62