Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $162.85 / $415.40	Facility		$54.67	$162.85	$415.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $54.67 / $64.23	Professional		$53.07	$54.67	$64.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $118.20 / $223.60	Facility		$65.62	$118.20	$223.60
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 $45.90 / $45.90 / $62.69	Professional		$45.90	$45.90	$62.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $106.16 / $415.40	Facility		$53.08	$106.16	$415.40
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 / $56.31	Professional		$53.08	$53.08	$56.31