Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.32 / $108.11 / $157.46	Facility		$41.32	$108.11	$157.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $41.32 / $41.32	Professional		$34.33	$41.32	$41.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.52 / $218.21 / $397.43	Facility		$109.52	$218.21	$397.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $72.36 / $97.69	Professional		$68.73	$72.36	$97.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.92 / $47.03 / $47.28	Facility		$45.92	$47.03	$47.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.89 / $57.89 / $57.89	Professional		$57.89	$57.89	$57.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $46.82 / $47.76	Facility		$46.82	$46.82	$47.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $84.00	Professional		$46.82	$46.82	$84.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.06 / $52.29 / $157.46	Facility		$42.06	$52.29	$157.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $52.29 / $75.97	Professional		$35.43	$52.29	$75.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $53.55 / $61.58	Professional		$43.91	$53.55	$61.58
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $34.60 / $54.33	Professional		$26.94	$34.60	$54.33