Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $676.50	Facility		$51.31	$51.31	$676.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $56.44	Professional		$51.31	$51.31	$56.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $105.57 / $185.42	Facility		$75.70	$105.57	$185.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $70.00 / $74.90	Professional		$66.50	$70.00	$74.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $76.20 / $123.14	Facility		$51.31	$76.20	$123.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $64.14 / $69.27	Professional		$51.31	$64.14	$69.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $51.31 / $64.13	Professional		$51.30	$51.31	$64.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $171.19	Facility		$51.31	$51.31	$171.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $67.28	Professional		$51.31	$51.31	$67.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $51.33	Professional		$21.55	$30.79	$51.33