Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.89 / $44.89 / $70.03	Facility		$44.89	$44.89	$70.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $44.89	Professional		$32.50	$39.31	$44.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.33 / $53.92 / $93.88	Facility		$38.33	$53.92	$93.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $35.44 / $37.92	Professional		$33.67	$35.44	$37.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $70.17 / $115.48	Facility		$47.25	$70.17	$115.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $59.06 / $63.79	Professional		$47.25	$59.06	$63.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $23.90 / $106.31	Professional		$18.89	$23.90	$106.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $44.89 / $82.49	Facility		$14.09	$44.89	$82.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $39.31 / $56.70	Professional		$14.09	$39.31	$56.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $43.04 / $70.43	Professional		$39.13	$43.04	$70.43
United Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $42.53 / $56.70	Facility		$19.85	$42.53	$56.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $28.35 / $47.25	Professional		$19.85	$28.35	$47.25