Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $95.67 / $426.43	Facility		$54.67	$95.67	$426.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $54.67 / $64.23	Professional		$53.08	$54.67	$64.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $134.47 / $249.41	Facility		$73.20	$134.47	$249.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $53.44 / $53.44	Professional		$50.77	$53.44	$53.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.67 / $72.67 / $72.67	Facility		$72.67	$72.67	$72.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $47.49 / $60.59	Professional		$46.93	$47.49	$60.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $79.62 / $265.39	Facility		$53.08	$79.62	$265.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.61 / $63.69	Professional		$53.08	$53.61	$63.69
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $56.32	Professional		$53.08	$53.08	$56.32