Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $37.34 / $58.25	Facility		$37.34	$37.34	$58.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $37.34 / $39.31	Professional		$32.50	$37.34	$39.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $27.56 / $27.56	Facility		$27.56	$27.56	$27.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $27.56 / $30.66	Professional		$26.18	$27.56	$30.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $58.38 / $104.08	Facility		$39.31	$58.38	$104.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $49.14 / $53.07	Professional		$39.31	$49.14	$53.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $54.02 / $230.44	Professional		$18.00	$54.02	$230.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $37.34 / $68.61	Facility		$14.09	$37.34	$68.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $37.34 / $47.17	Professional		$14.09	$37.34	$47.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $35.80 / $58.59	Professional		$32.54	$35.80	$58.59
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.59 / $51.10	Professional		$16.51	$23.59	$51.10