Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.16 / $58.16 / $58.16	Facility		$58.16	$58.16	$58.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $58.16 / $58.16	Professional		$53.01	$58.16	$58.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.13 / $307.11 / $559.35	Facility		$154.13	$307.11	$559.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $101.84 / $137.47	Professional		$96.75	$101.84	$137.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $66.70 / $69.28	Facility		$66.20	$66.70	$69.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.47 / $81.47 / $81.47	Professional		$81.47	$81.47	$81.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $66.72 / $84.67	Professional		$57.61	$66.72	$84.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.16 / $73.56 / $73.56	Facility		$58.16	$73.56	$73.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $73.56 / $114.53	Professional		$58.16	$73.56	$114.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $75.36 / $86.66	Professional		$61.79	$75.36	$86.66
United Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $48.68 / $72.88	Professional		$39.74	$48.68	$72.88