Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $23.70 / $89.62	Facility		$13.07	$23.70	$89.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $21.75 / $23.70	Professional		$20.91	$21.75	$23.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $28.22 / $49.56	Facility		$19.60	$28.22	$49.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $18.71 / $25.26	Professional		$12.72	$18.71	$25.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $24.95 / $67.77	Facility		$18.71	$24.95	$67.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $24.95	Professional		$16.22	$16.22	$24.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $28.50 / $35.61	Professional		$15.86	$28.50	$35.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $23.70 / $43.55	Facility		$19.20	$23.70	$43.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $24.77 / $29.94	Professional		$21.43	$24.77	$29.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $20.66 / $27.89	Professional		$18.59	$20.66	$27.89
United Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $22.46 / $29.94	Facility		$10.48	$22.46	$29.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $15.23 / $16.14	Professional		$10.48	$15.23	$16.14