Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $34.79 / $54.27	Facility		$34.79	$34.79	$54.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $34.79 / $39.31	Professional		$32.50	$34.79	$39.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.68 / $25.68 / $25.68	Facility		$25.68	$25.68	$25.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $25.68 / $28.57	Professional		$24.40	$25.68	$28.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $54.39 / $89.49	Facility		$36.61	$54.39	$89.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $45.78 / $49.44	Professional		$36.61	$45.78	$49.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $18.59 / $82.40	Professional		$14.65	$18.59	$82.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $34.79 / $63.93	Facility		$14.09	$34.79	$63.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $34.79 / $43.94	Professional		$14.09	$34.79	$43.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $33.35 / $54.57	Professional		$30.32	$33.35	$54.57
United Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $43.94	Facility		$36.61	$36.61	$43.94
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $21.97 / $36.61	Professional		$15.38	$21.97	$36.61