Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $47.86 / $14,226.03	Facility		$26.54	$47.86	$14,226.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $26.01 / $29.00	Professional		$25.76	$26.01	$29.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $46.99 / $88.90	Facility		$24.51	$46.99	$88.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $22.36 / $173.00	Professional		$21.50	$22.36	$173.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $26.32 / $38.14	Facility		$23.93	$26.32	$38.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.06 / $59.75	Professional		$25.77	$27.06	$59.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $30.47	Professional		$25.77	$25.77	$30.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $68.59 / $9,583.07	Facility		$25.77	$68.59	$9,583.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $25.77 / $32.21	Professional		$24.65	$25.77	$32.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $30.98 / $43.07	Professional		$25.77	$30.98	$43.07
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $28.69 / $32.99	Professional		$25.77	$28.69	$32.99