Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $28.37 / $815.73	Facility		$2.58	$28.37	$815.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.69	Professional		$2.59	$2.59	$2.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $7.68 / $16.51	Facility		$5.13	$7.68	$16.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.68 / $6.08	Professional		$4.26	$4.68	$6.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $48,999.51 / $92,609.07	Facility		$48,999.51	$48,999.51	$92,609.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $56.75 / $660.80	Facility		$2.59	$56.75	$660.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $16.80 / $21.00	Professional		$2.59	$16.80	$21.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $65.00	Professional		$30.00	$30.00	$65.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $2.97	Professional		$2.70	$2.70	$2.97