Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.26 / $61.26 / $61.26	Facility		$61.26	$61.26	$61.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $61.26 / $61.26	Professional		$50.89	$61.26	$61.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.34 / $323.45 / $589.11	Facility		$162.34	$323.45	$589.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $107.26 / $144.80	Professional		$101.90	$107.26	$144.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $69.72 / $70.12	Facility		$68.06	$69.72	$70.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $85.81 / $85.81	Professional		$85.81	$85.81	$85.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $59.89 / $59.89	Facility		$59.89	$59.89	$59.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $59.89 / $124.50	Professional		$59.89	$59.89	$124.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.26 / $77.51 / $77.51	Facility		$61.26	$77.51	$77.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $77.51 / $112.62	Professional		$59.95	$77.51	$112.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $79.37 / $91.27	Professional		$65.08	$79.37	$91.27
United Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $50.37 / $75.83	Professional		$37.44	$50.37	$75.83