Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $237.64 / $362.23	Facility		$34.57	$237.64	$362.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $34.57 / $34.57	Professional		$26.03	$34.57	$34.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.63 / $182.56 / $332.51	Facility		$91.63	$182.56	$332.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $60.54 / $81.73	Professional		$57.51	$60.54	$81.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $34.81 / $39.35	Facility		$34.81	$34.81	$39.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $48.43 / $48.43	Professional		$48.43	$48.43	$48.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Facility		$39.15	$39.15	$39.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $39.15 / $70.13	Professional		$39.15	$39.15	$70.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $43.75 / $237.64 / $362.23	Facility		$43.75	$237.64	$362.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $43.75 / $72.64	Professional		$32.52	$43.75	$72.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.73 / $44.80 / $51.52	Professional		$36.73	$44.80	$51.52
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $28.43 / $43.33	Professional		$20.92	$28.43	$43.33