Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $716.13 / $6,552.30	Facility		$48.96	$716.13	$6,552.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $48.02 / $59.91	Professional		$47.54	$48.02	$59.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $90.34 / $182.98	Facility		$46.86	$90.34	$182.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $46.65 / $60.56	Professional		$42.62	$46.65	$60.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $47.61 / $70.37	Facility		$43.28	$47.61	$70.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $49.77 / $110.25	Professional		$47.55	$49.77	$110.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $47.55 / $47.55	Professional		$31.55	$47.55	$47.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $124.02 / $6,552.30	Facility		$48.96	$124.02	$6,552.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $47.55 / $61.81	Professional		$44.57	$47.55	$61.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $47.55 / $64.92	Professional		$27.91	$47.55	$64.92
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $52.93 / $58.96	Professional		$47.55	$52.93	$58.96